Provider Demographics
NPI:1457898702
Name:MICHAEL NGO D.O. AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED PLLC
Entity Type:Organization
Organization Name:MICHAEL NGO D.O. AMERICAN BOARD OF INTERNAL MEDICINE CERTIFIED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NGO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-331-5725
Mailing Address - Street 1:11130 DRUMADOON DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2036
Mailing Address - Country:US
Mailing Address - Phone:714-331-5725
Mailing Address - Fax:
Practice Address - Street 1:11130 DRUMADOON DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2036
Practice Address - Country:US
Practice Address - Phone:714-331-5725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty