MEDICARE: TUONG-VI V. HO RN, ANP, GNP, FNP

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
1	363LA2200X	Adult Health Nurse Practitioner	452887	TX
2	363LG0600X	Gerontology Nurse Practitioner	452887	TX
3	363LF0000X	Family Nurse Practitioner	AP104635	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720178510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUONG-VI V. HO RN, ANP, GNP, FNP

Provider Business Mailing Address
First Line	:	17831 CAMP COVE DR
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-7655
Country	:	US
Telephone Number	:	832-944-5570
Fax Number	:

Provider Business Practice Location Address
First Line	:	13218 BELLAIRE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-2634
Country	:	US
Telephone Number	:	832-944-5570
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	11/19/2020

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