MTN Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12 Issued in TX

Legal business name

MTN CORPORATION

Practice address

12989 Bellaire Blvd Ste 1a
Houston, TX 77072-5134

Phone

(281) 561-0101

Fax

(281) 561-0333

NPI assigned

Jul 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Nhuong Hoang Nguyen

Title

Pharmacist in Charge

Phone

(281) 561-0101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TN Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366467383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 BELLAIRE BLVD STE 1A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725134",
            "telephone_number": "281-561-0101",
            "fax_number": "281-561-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 BELLAIRE BLVD STE 1A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725134",
            "telephone_number": "281-561-0101",
            "fax_number": "281-561-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NHUONG",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "281-561-0101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144298",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4588236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TN Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• MTN Corporation
• Kathy Mu, DO
• Pu Mu, L.AC.
• Nathan Keola Muaina, D.M.D.
• Ernestine Ako Muanya, NP-C

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.