Provider Demographics
NPI:1164082327
Name:TRUONG, LINH NGOC (FNP)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:NGOC
Last Name:TRUONG
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11920 WESTHEIMER RD STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6666
Mailing Address - Country:US
Mailing Address - Phone:281-679-6165
Mailing Address - Fax:281-670-5790
Practice Address - Street 1:11920 WESTHEIMER RD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6666
Practice Address - Country:US
Practice Address - Phone:281-679-6165
Practice Address - Fax:281-670-5790
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137560363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner