Provider Demographics
NPI:1720326739
Name:NGO, KIMBERLY QUYNHCHI (PA-C)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:QUYNHCHI
Last Name:NGO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:7324 SOUTHWEST FWY STE 925
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2025
Mailing Address - Country:US
Mailing Address - Phone:713-484-5105
Mailing Address - Fax:
Practice Address - Street 1:14011 PARK DR STE 115
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6288
Practice Address - Country:US
Practice Address - Phone:281-290-8188
Practice Address - Fax:281-290-8288
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2020-05-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant