Provider Demographics
NPI:1588930309
Name:DO, BICH NGOC (MD)
Entity type:Individual
Prefix:MRS
First Name:BICH
Middle Name:NGOC
Last Name:DO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BICH
Other - Middle Name:NGOC
Other - Last Name:TRUONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7859 WALNUT HILL LN STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-5605
Mailing Address - Country:US
Mailing Address - Phone:214-369-7661
Mailing Address - Fax:214-369-2328
Practice Address - Street 1:7859 WALNUT HILL LN STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-5605
Practice Address - Country:US
Practice Address - Phone:214-369-7661
Practice Address - Fax:214-369-2328
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2016-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3606208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics