Provider Demographics
NPI:1134306038
Name:NGO, MANDY Q (DC)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:Q
Last Name:NGO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9889 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3463
Mailing Address - Country:US
Mailing Address - Phone:713-484-7677
Mailing Address - Fax:713-484-7675
Practice Address - Street 1:9889 BELLAIRE BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3463
Practice Address - Country:US
Practice Address - Phone:713-484-7677
Practice Address - Fax:713-484-7675
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor