Provider Demographics
NPI:1346622768
Name:NGO, JOHN DUY (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DUY
Last Name:NGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 GARTH RD STE 160
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3181
Mailing Address - Country:US
Mailing Address - Phone:832-225-8334
Mailing Address - Fax:
Practice Address - Street 1:4002 GARTH RD STE 160
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3181
Practice Address - Country:US
Practice Address - Phone:832-225-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2015018170207LP2900X
TXS3031207LP2900X
MO2015018170208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNONEOtherI DON'T HAVE ANOTHER NUMBER