Provider Information for 1528694635
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
PHUONG MADALENA LUU
Sex: Female
NPI: 1528694635
Last Updated: 2022-02-28
Certification Date: 2022-02-28
Certification Date: 2022-02-28
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528694635 | ||||||||||||
| Enumeration Date | 2020-03-20 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1111 W ADOUE ST ALVIN, TX 77511-2718 United States Phone: 281-824-1480 | Fax:281-220-6407 | ||||||||||||
| Primary Practice Address | 1111 W ADOUE ST ALVIN, TX 77511-2718 United States Phone: 281-824-1480 | Fax:281-220-6407 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|