Individual
MYLENE T. TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K3502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300073861
RR MEDICARE
TX
05
—
41374201
—
TX
01
—
41374202
CSHCN TPI
TX
01
—
82M567
BCBS
TX
Enumeration date
09/15/2006
Last updated
10/22/2020
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