Provider Demographics
NPI:1114504974
Name:DO, TRUONG NGO (PHARMD)
Entity Type:Individual
Prefix:
First Name:TRUONG
Middle Name:NGO
Last Name:DO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:9440 BELLAIRE BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4558
Mailing Address - Country:US
Mailing Address - Phone:832-849-1660
Mailing Address - Fax:832-831-6049
Practice Address - Street 1:9440 BELLAIRE BLVD STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4558
Practice Address - Country:US
Practice Address - Phone:832-849-1660
Practice Address - Fax:832-831-6049
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist