Individual ProviderHuy VuongStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(623) 572-3200PECOS EnrollmentBased on the most recent information from CMS, provider Huy Vuong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1023889367Provider TypeIndividualFull NameVuong, HuyCredentialDOGenderMaleSole ProprietorYesEnumeration Date1/15/2024Last Updated1/15/2024Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 572-3200FaxUnlisted FaxMailing LocationMailing Address19555 N 59th Ave, Glendale, AZ 85308-6813PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer