Provider Demographics
NPI:1578520953
Name:DUONG, GIAO QUYNH (MD)
Entity Type:Individual
Prefix:
First Name:GIAO
Middle Name:QUYNH
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 1:1 SADDLEWOOD ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6841
Mailing Address - Country:US
Mailing Address - Phone:713-518-5703
Mailing Address - Fax:832-426-4036
Practice Address - Street 1:12000 RICHMOND AVE STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2963
Practice Address - Country:US
Practice Address - Phone:832-741-0260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201837611Medicaid