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Trung Cong Duong

Internal Medicine

Allopathic & Osteopathic Physicians

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

PECOS Enrollment

This provider is enrolled in PECOS as TRUNG DUONG.

Based on the most recent information from CMS, provider Trung Cong Duong is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1841269578
Provider Type
Individual
Full Name
Duong, Trung Cong
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/15/2006
Last Updated
7/20/2021

Contact Information

Practice Location

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

(972) 993-5050

(972) 993-5051

Mailing Location

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

(972) 993-5050

(972) 993-5051

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License L3955 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 023073 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 2024481-01	Description Medicaid	Issuer Unlisted Texas
ID 202448101	Description Medicaid	Issuer Unlisted Texas
ID 1494224	Description Medicaid	Issuer Unlisted Louisiana
ID 8AG046	Description Other	Issuer BCBS Texas

Trung Cong Duong

PECOS Enrollment

Profile Details

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