Provider Demographics
NPI:1669077533
Name:NGANG, SENG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SENG
Middle Name:
Last Name:NGANG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-3736
Mailing Address - Country:US
Mailing Address - Phone:214-280-7258
Mailing Address - Fax:
Practice Address - Street 1:4205 N JOSEY LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4748
Practice Address - Country:US
Practice Address - Phone:972-492-1706
Practice Address - Fax:972-394-2581
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63451183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist