| NPI Details | |
|---|---|
| NPI | 1265867931 |
| Enumeration Date | 09/12/2013 |
| Last Updated | 09/12/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | PHONG Q. PHONG |
| Position | OWNER/OD |
| Phone | (832) 934-1166 |
| Fax | (832) 934-1161 |
| Practice Location | |
|---|---|
| 25639 US HWY 59 NORTH SUITE 109 KINGWOOD TX, 77339, US |
|
| Phone | (832) 934-1166 |
| Fax | (832) 934-1161 |
| Business Location | |
|---|---|
| 25639 US HWY 59 NORTH SUITE 109 KINGWOOD TX, 77339, US |
|
| Phone | (832) 934-1166 |
| Fax | (832) 934-1161 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | |
| License Number | |
| Remove 1265867931 NPI Number | |
According to our database, Tso Kingwood North Park Pa NPI is 1265867931, taxonomy code is 152W00000X Tso Kingwood North Park Pa physically located at 25639 Us Hwy 59 North, Kingwood TX, 77339. NPI Number 1033115704 has the healthcare provider type.
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1265867931 NPI number is provided on an as is basis without warranty of any kind. 1265867931 is maintained by the National Plan & Provider Enumeration System. The contents of Tso Kingwood North Park Pa are for informational purposes only.
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