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Individual

PETER T NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1710 E SAUNDERS ST, SUITE B350, LAREDO, TX 78041-5443
(956) 712-9171
(956) 712-9402
Mailing address
PO BOX 3289, LAREDO, TX 78044-3289
(956) 712-9171
(956) 712-9402

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1952
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146975104
TX
01
8AJ142
BLUE CROSS/BLUE SHIELD
TX
01
P00071030
PALMETTO GBA(MEDICARE RAILROAD)
TX
Enumeration date
03/29/2006
Last updated
05/01/2008
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