Provider Demographics
NPI:1770094468
Name:NGO, HUONG MY (RN, FNP-BC, RNFA)
Entity type:Individual
Prefix:
First Name:HUONG
Middle Name:MY
Last Name:NGO
Suffix:
Gender:F
Credentials:RN, FNP-BC, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 PASEO
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6833
Mailing Address - Country:US
Mailing Address - Phone:817-247-1882
Mailing Address - Fax:
Practice Address - Street 1:515 W MAYFIELD RD STE 416
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2085
Practice Address - Country:US
Practice Address - Phone:817-375-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135185363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily