MEDICARE: MY MINH UONG APRN, 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	363L00000X	Nurse Practitioner	AP139545	TX

General Provider Information

NPI Number	:	1922575687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MY MINH UONG APRN, FNP

Provider Business Mailing Address
First Line	:	17350 STATE HWY 249, STE 220 #18507
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1132
Country	:	US
Telephone Number	:	512-522-8381
Fax Number	:

Provider Business Practice Location Address
First Line	:	17350 STATE HIGHWAY 249 STE 220
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77064-1132
Country	:	US
Telephone Number	:	512-522-8381
Fax Number	:

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

Provider Enumeration Date	:	10/30/2018
Last Update Date	:	09/03/2025

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