Provider Demographics
NPI:1669588679
Name:NGO, TRUONG Q (PA)
Entity type:Individual
Prefix:
First Name:TRUONG
Middle Name:Q
Last Name:NGO
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:78 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-2652
Mailing Address - Country:US
Mailing Address - Phone:207-947-0768
Mailing Address - Fax:207-945-9705
Practice Address - Street 1:2626 S LOOP W STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5636
Practice Address - Country:US
Practice Address - Phone:713-796-9955
Practice Address - Fax:713-796-9779
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
TXPA07852363A00000X
MEPA001065363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant