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NPI Code Detail

MEDICARE: NHU NGOC QUYNH DO

MEDICARE: NHU NGOC QUYNH DO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1811468978
Entity Type Code : Individual
Provider Name (Legal Business Name) : NHU NGOC QUYNH DO
Provider Business Mailing Address
First Line : 390 UNION BLVD STE 300
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-6514
Country : US
Telephone Number : 303-989-8172
Fax Number : 303-984-4366
Provider Business Practice Location Address
First Line : 15703 LONGENBAUGH DR STE H
Second Line :
City : HOUSTON
State : TX
Zip : 77095-1649
Country : US
Telephone Number : 281-258-4447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2018
Last Update Date : 12/16/2018

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Directions to “ NHU NGOC QUYNH DO ” Practice Location

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