Provider Demographics
NPI:1891908273
Name:LUONG, KATHERINE NHI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:NHI
Last Name:LUONG
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 1:1809 ELDRIDGE PKWY STE 216
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2550
Mailing Address - Country:US
Mailing Address - Phone:281-497-5999
Mailing Address - Fax:281-497-2310
Practice Address - Street 1:1809 ELDRIDGE PKWY STE 216
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2550
Practice Address - Country:US
Practice Address - Phone:281-497-5999
Practice Address - Fax:281-497-2310
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22777122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180646504Medicaid
TX180646501Medicaid
TX180646503Medicaid