Provider Demographics
NPI:1538326525
Name:LEPHUOC, PHUONG THUY (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHUONG
Middle Name:THUY
Last Name:LEPHUOC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11307 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3755
Mailing Address - Country:US
Mailing Address - Phone:281-583-9001
Mailing Address - Fax:281-583-8968
Practice Address - Street 1:11307 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3755
Practice Address - Country:US
Practice Address - Phone:281-583-9001
Practice Address - Fax:281-583-8968
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice