Organization
MEDVAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYANNE P TRUONG MPA-C (PHYSICIAN ASSISTANT)
(713) 794-1414
Entity
Organization
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 794-1414
Mailing address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
Taxonomy
Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
PA04307
TX
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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