Individual
DR. KEVIN ANH TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9250 PINECROFT DR, THE WOODLANDS, TX 77380-3218
(281) 364-2300
Mailing address
13871 BREEDERS CUP DR, RANCHO CUCAMONGA, CA 91739-5142
(281) 419-0963
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
025014
LA
207P00000X
Emergency Medicine Physician
Primary
L6685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159190105
—
TX
05
—
159190106
—
TX
01
—
8AK945
BCBS
TX
Enumeration date
09/20/2006
Last updated
12/01/2021
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