Organization
PETER T. NGO, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T. NGO M.D. (OWNER)
(956) 712-9171
Entity
Organization
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
01
—
0024PY
BLUE CROSS/BLUE SHIELD
TX
05
—
161490101
—
TX
01
—
DA7630
PALMETTO
TX
Enumeration date
11/21/2006
Last updated
07/27/2010
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