| Ttkt Medical Pllc | |
|
14248 Bellaire Blvd Ste 111 Houston TX 77083-7536 | |
| (832) 680-1038 | |
| (617) 485-1677 |
| Full Name | Ttkt Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14248 Bellaire Blvd Ste 111, Houston, Texas |
| Authorized Official Name and Position | Tam Truong (OWNER) |
| Authorized Official Contact | 8326801038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ttkt Medical Pllc 14842 Dorray Ln Houston TX 77082-1756 Ph: (832) 680-1038 | Ttkt Medical Pllc 14248 Bellaire Blvd Ste 111 Houston TX 77083-7536 Ph: (832) 680-1038 |
| NPI Number | 1932989456 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 8921454869 |
|---|---|
| Medicare Enrollment ID | O20231027002957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932989456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tam M Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104083039 PECOS PAC ID: 8921274630 Enrollment ID: I20111230000247 |
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