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NPI Code Detail

MEDICARE: MS. THU THI NGO FPMHNP-BC

MEDICARE: MS. THU THI NGO FPMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner626662TX

General Provider Information

NPI Number : 1730456898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THU THI NGO FPMHNP-BC
Provider Business Mailing Address
First Line : 190 CIVIC CIR STE 250
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-3648
Country : US
Telephone Number : 972-436-8591
Fax Number :
Provider Business Practice Location Address
First Line : 190 CIVIC CIR STE 250
Second Line :
City : LEWISVILLE
State : TX
Zip : 75067-3648
Country : US
Telephone Number : 972-436-8591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 11/17/2011

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