Provider Demographics
NPI:1629679410
Name:NGO, DUEHAN TRAN
Entity Type:Individual
Prefix:
First Name:DUEHAN
Middle Name:TRAN
Last Name:NGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10750 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-5019
Mailing Address - Country:US
Mailing Address - Phone:713-984-8035
Mailing Address - Fax:713-984-9967
Practice Address - Street 1:10750 WESTVIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5019
Practice Address - Country:US
Practice Address - Phone:713-984-8035
Practice Address - Fax:713-984-9967
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36814183500000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacist