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NPI Code Detail

MEDICARE: MRS. ALLYSON THUY DUONG

MEDICARE: MRS. ALLYSON THUY DUONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist35224TX

General Provider Information

NPI Number : 1487650834
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLYSON THUY DUONG
Provider Business Mailing Address
First Line : 5716 BUFFALO SPEEDWAY
Second Line :
City : WEST UNIVERSITY PLACE
State : TX
Zip : 77005-2206
Country : US
Telephone Number : 713-664-4209
Fax Number :
Provider Business Practice Location Address
First Line : 1615 N MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-8525
Country : US
Telephone Number : 713-530-4209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. ALLYSON THUY DUONG ” Practice Location

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