Individual
LOAN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1285
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265
(409) 772-2222
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1038724
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1038724
TX
363LA2200X
Adult Health Nurse Practitioner
1038724
TX
Other
Enumeration date
07/28/2021
Last updated
02/21/2023
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