Provider Demographics
NPI:1518222470
Name:DUONG, TAM (MD)
Entity Type:Individual
Prefix:DR
First Name:TAM
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6334 FM 2920
Mailing Address - Street 2:SUITE #300
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379
Mailing Address - Country:US
Mailing Address - Phone:281-370-0616
Mailing Address - Fax:281-370-0609
Practice Address - Street 1:6334 FM 2920
Practice Address - Street 2:SUITE #300
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:281-370-0616
Practice Address - Fax:281-370-0609
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3710208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics