Individual provider Active NPI

Binh Duong

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1972025120
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11279 Issued in TX
Practice address
10411 Veterans Memorial Dr Ste a
Houston, TX 77038-1501
Phone
(832) 327-7700
Fax
(832) 327-7702
NPI assigned
Jul 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11279 TX Primary

Addresses

Primary practice location

10411 Veterans Memorial Dr Ste a
Houston, TX 77038-1501

Mailing address

10411 Veterans Memorial Dr
Ste a
Houston, TX 77038

Other practice location 1

10411 Veterans Memorial Dr Ste A
Houston, TX 77038-1501
Phone (183) 232-7770

Other practice location 2

10411 Veterans Memorial Dr
Houston, TX 77038-1501
Phone (832) 327-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209000890 TX Order and Referring Only - Physician Assistant 5193115939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11279TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Medical, PA PastSince Apr 1, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972025120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-327-7700",
            "fax_number": "832-327-7702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10411 Veterans Memorial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770381501",
            "country_code": "US",
            "telephone_number": "183-232-7770",
            "fax_number": "832-327-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10411 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770381501",
            "country_code": "US",
            "telephone_number": "832-327-7700",
            "fax_number": "832-327-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "BINH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.