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Individual

EDWARD K NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2840 LEGACY DR, BLDG. 400, FRISCO, TX 75034-6049
(972) 712-3652
(214) 618-3614
Mailing address
2840 LEGACY DR, BLDG. 400, FRISCO, TX 75034-6049
(972) 712-3652
(214) 618-3614

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BP10025404
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206303401
TX
01
8CC385
BCBSTX
TX
Enumeration date
05/15/2007
Last updated
06/08/2010
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