Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | J6412 | TX |
Y | 207RP1001X | Pulmonary Disease | J6412 | TX |
N | 207RS0012X | Sleep Medicine | J6412 | TX |
NPI | 1023003639 |
---|---|
Provider Name | Dr. Huy Xuan Duong |
First Address | Arlington, TX 76014-2075 |
Second Address | Fort Worth, TX 76132-4127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2005 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
128855706 | (05) | TX |
G18479 | (02) |