Individual
DR. LIEU NGO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22678 HIGHWAY 59, PORTER, TX 77365-6699
(281) 354-4654
Mailing address
12803 BROOK ARBOR CT, PEARLAND, TX 77584-2562
(832) 681-1967
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M5404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187834004
—
TX
01
—
8AC847
BCBSTX PROV. NUMBER
TX
Enumeration date
03/23/2007
Last updated
03/30/2021
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