Individual
ANNIE SO NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1008 RANCH ROAD 620 S STE 200, LAKEWAY, TX 78734-5633
(512) 263-9072
(512) 402-9057
Mailing address
1008 RANCH ROAD 620 S, STE 200, LAKEWAY, TX 78734-5633
(512) 263-9072
(512) 402-9057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140183
TX
Other
Enumeration date
05/15/2019
Last updated
06/24/2019
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