Basic Information
| Provider Information | |||||||||
| NPI: | 1235786062 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUONG | ||||||||
| FirstName: | VIVIAN | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16807 KEPPIE WAY | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774071516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9858702049 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12141 RICHMOND AVE | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770822408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815888110 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/26/2019 | ||||||||
| LastUpdateDate: | 02/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WE0003X | 888297 | TX | N | Nursing Service Providers | Registered Nurse | Emergency | 363LF0000X | AP142998 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.