Provider Demographics
NPI:1265543490
Name:DUONG, MAI DUYEN (MD)
Entity type:Individual
Prefix:DR
First Name:MAI
Middle Name:DUYEN
Last Name:DUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:116 LAMAR CANYON LN
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3887
Mailing Address - Country:US
Mailing Address - Phone:281-482-3486
Mailing Address - Fax:281-482-4985
Practice Address - Street 1:411 E PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5149
Practice Address - Country:US
Practice Address - Phone:281-482-3486
Practice Address - Fax:281-482-4985
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161232715Medicaid