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1740202910
THAO MING TRUONG
PORT LAVACA, TX
NPI
1740202910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX TXK2128)
Enumeration Date
2006-07-24
Last Update Date
2015-07-14
Business Address
Dr. THAO MING TRUONG M.D.
815 N VIRGINIA ST
PORT LAVACA, TX 77979-3025
Phone number: 361-552-0325
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Mailing Address
Dr. THAO MING TRUONG M.D.
815 N VIRGINIA ST
PORT LAVACA, TX 77979-3025
Phone number: 361-552-0325
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