MEDICARE: RTRUONG, DCHU, DDS & ASSOCIATES, P.A.

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	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G60065-1	OTHER	TX	TEXAS CHIP

General Provider Information

NPI Number	:	1730103482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RTRUONG, DCHU, DDS & ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	5162 ALDINE MAIL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-3802
Country	:	US
Telephone Number	:	281-219-1819
Fax Number	:	281-219-2060

Provider Business Practice Location Address
First Line	:	5162 ALDINE MAIL RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77039-3802
Country	:	US
Telephone Number	:	281-219-1819
Fax Number	:	281-219-2060

Authorized Official
Title or Position	:	MANAGER
Name	:	DARLENE Q CHU
Credential	:
Telephone Number	:	281-219-1819

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/22/2020

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