Provider Demographics
NPI:1396724910
Name:NGO, DIEU RICK QUANG (MD)
Entity type:Individual
Prefix:DR
First Name:DIEU RICK
Middle Name:QUANG
Last Name:NGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2308 BISSONNET ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1155
Mailing Address - Country:US
Mailing Address - Phone:713-493-7700
Mailing Address - Fax:281-971-4065
Practice Address - Street 1:2308 BISSONNET ST UNIT A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1155
Practice Address - Country:US
Practice Address - Phone:713-493-7700
Practice Address - Fax:281-971-4065
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4599208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00028473OtherMEDICARE RR
TX160826501Medicaid
TX8G3690OtherBCBSTX
TX8G3690OtherBCBSTX
TXTXB112260Medicare PIN