Active NPI 1750668448 Individual Practitioner Male Practitioner

Dr. Phu Thien Truong , DO

Internal Medicine • Euless, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Phu Truong, DO is a certified Internal Medicine practicing in Euless, TX. With approximately 21 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 2005, Dr. Truong delivers high-quality medical care to the local community at 469 WESTPARK WAY.

Dr. Truong is affiliated with Catalyst Physician Group - Ntx, Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

469 Westpark Way

Euless, TX 760403957

Telephone 8172832888

Associated Practice Facility / Clinic

🏢 Northeast Tarrant Internal Medicine Associates Facility NPI 1215007570

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Euless, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -8.8 yrs vs City Avg

City Avg: 29.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Euless, TX (9538 Statewide)

Telehealth Adoption Rate

57.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Truong (21 Years) 21 Yrs

Euless Specialty Average (29.8 Years) 29.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	222	$384.83	$124.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$387.77	$127.39
G0444 Annual depression screening, 5 to 15 minutes	141	141	$56.52	$18.55
99213 Established patient office or other outpatient visit, typically 15 minutes	130	95	$272.98	$87.10
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	102	87	$48.36	$16.11
90662 Influenza vaccine split virus, preservative free	58	58	$323.00	$81.82
G0008 Administration of influenza virus vaccine	57	55	$32.78	$30.85
80053 Blood test, comprehensive group of blood chemicals	42	42	$31.68	$10.35
36415 Insertion of needle into vein for collection of blood sample	40	40	$25.71	$8.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	38	38	$23.00	$7.61
80061 Blood test, lipids (cholesterol and triglycerides)	38	38	$40.17	$12.77
99442 Telephone medical discussion with physician, 11-20 minutes	33	28	$268.43	$86.32
84443 Blood test, thyroid stimulating hormone (TSH)	31	31	$50.40	$16.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$502.39	$164.48
83036 Hemoglobin A1C level	18	18	$29.13	$9.52
81002 Urinalysis, manual test	13	12	$10.27	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$494.63	$162.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	205	$254.27	$123.97
80053 Blood test, comprehensive group of blood chemicals	201	142	$25.17	$10.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	183	130	$20.08	$7.57
80061 Blood test, lipids (cholesterol and triglycerides)	169	133	$35.15	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$292.74	$127.76
G0444 Annual depression screening, 5 to 15 minutes	147	147	$39.37	$18.31
84443 Blood test, thyroid stimulating hormone (TSH)	135	111	$40.44	$16.46
99213 Established patient office or other outpatient visit, typically 15 minutes	127	101	$176.99	$81.24
83036 Hemoglobin A1C level	79	59	$84.29	$9.41
G0008 Administration of influenza virus vaccine	53	53	$17.75	$17.24
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	45	45	$212.44	$75.81
G0103 Prostate cancer screening; prostate specific antigen test (psa)	27	27	$41.33	$18.92
82306 Vitamin d-3 level	20	18	$52.00	$29.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$374.00	$155.19
93880 Ultrasound of both sides of head and neck blood flow	16	16	$409.00	$190.89
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	13	12	$304.77	$139.78
84153 Psa (prostate specific antigen) measurement, total	12	12	$35.00	$18.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$174.22	$159.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$37.91	$13.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	419	218	$185.00	$126.57
80053 Blood test, comprehensive group of blood chemicals	308	181	$25.00	$10.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	280	174	$20.00	$7.68
80061 Blood test, lipids (cholesterol and triglycerides)	239	167	$35.00	$13.23
84443 Blood test, thyroid stimulating hormone (TSH)	193	153	$40.00	$16.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$200.00	$131.20
G0444 Annual depression screening, 5 to 15 minutes	184	184	$25.00	$18.52
99213 Established patient office or other outpatient visit, typically 15 minutes	155	118	$120.00	$77.58
83036 Hemoglobin A1C level	136	72	$85.00	$9.60
G0103 Prostate cancer screening; prostate specific antigen test (psa)	57	57	$40.00	$19.06
G0008 Administration of influenza virus vaccine	46	46	$35.00	$29.26
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	21	$30.00	$15.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	29	25	$60.00	$43.24
80048 Blood test, basic group of blood chemicals (calcium, total)	28	27	$20.00	$8.34
90662 Influenza vaccine split virus, preservative free	27	27	$74.89	$68.54
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	22	21	$220.45	$139.91
82306 Vitamin d-3 level	14	14	$52.00	$29.24
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$100.00	$70.25
84153 Psa (prostate specific antigen) measurement, total	11	11	$35.00	$18.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	235	$185.00	$128.46
80053 Blood test, comprehensive group of blood chemicals	343	203	$25.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	328	197	$20.00	$7.77
80061 Blood test, lipids (cholesterol and triglycerides)	262	183	$35.00	$13.39
84443 Blood test, thyroid stimulating hormone (TSH)	241	182	$40.00	$16.80
99213 Established patient office or other outpatient visit, typically 15 minutes	186	131	$120.00	$81.10
G0444 Annual depression screening, 5 to 15 minutes	185	185	$25.00	$18.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$200.00	$133.63
83036 Hemoglobin A1C level	161	91	$85.00	$9.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	63	63	$40.00	$19.31
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	21	$30.00	$16.55
G0008 Administration of influenza virus vaccine	40	40	$35.00	$16.98
90662 Influenza vaccine split virus, preservative free	36	36	$72.00	$65.26
80048 Blood test, basic group of blood chemicals (calcium, total)	28	27	$20.00	$8.46
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	26	23	$60.00	$45.23
81002 Urinalysis, manual test	19	16	$17.00	$3.48
82306 Vitamin d-3 level	17	17	$52.00	$29.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	15	$35.00	$13.68
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	12	$350.00	$200.06
J1040 Injection, methylprednisolone acetate, 80 mg	12	11	$22.00	$9.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	475	252	$181.40	$108.05
80053 Blood test, comprehensive group of blood chemicals	315	219	$25.00	$10.48
99213 Established patient office or other outpatient visit, typically 15 minutes	265	174	$120.00	$72.98
80061 Blood test, lipids (cholesterol and triglycerides)	248	201	$35.00	$13.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	236	186	$20.00	$7.73
84443 Blood test, thyroid stimulating hormone (TSH)	228	196	$40.00	$16.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$194.38	$117.45
G0444 Annual depression screening, 5 to 15 minutes	188	188	$25.00	$18.46
83036 Hemoglobin A1C level	157	89	$85.00	$9.55
G0103 Prostate cancer screening; prostate specific antigen test (psa)	77	77	$40.00	$19.00
G0008 Administration of influenza virus vaccine	51	49	$33.98	$16.71
90662 Influenza vaccine split virus, preservative free	43	42	$72.00	$60.56
99442 Telephone medical discussion with physician, 11-20 minutes	41	30	$75.00	$75.49
80048 Blood test, basic group of blood chemicals (calcium, total)	32	30	$20.00	$8.40
87804 Detection test by immunoassay with direct visual observation for influenza virus	30	19	$30.00	$16.42
81002 Urinalysis, manual test	19	18	$17.00	$3.44
99443 Telephone medical discussion with physician, 21-30 minutes	19	19	$100.00	$100.66
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$62.00	$17.14
84550 Uric acid level, blood	14	12	$20.00	$4.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$175.00	$168.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$81.00	$54.09
69210 Removal of impacted ear wax	12	11	$93.75	$48.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$115.00	$114.44
G0009 Administration of pneumococcal vaccine	11	11	$32.64	$16.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	880	399	$175.00	$107.29
99213 Established patient office or other outpatient visit, typically 15 minutes	436	302	$120.00	$73.62
80053 Blood test, comprehensive group of blood chemicals	398	265	$25.00	$11.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	296	241	$20.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	276	223	$35.00	$14.58
84443 Blood test, thyroid stimulating hormone (TSH)	264	221	$40.00	$18.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	229	229	$175.00	$116.15
83036 Hemoglobin A1C level	185	96	$85.00	$10.52
G0444 Annual depression screening, 5 to 15 minutes	160	160	$25.00	$18.06
G0008 Administration of influenza virus vaccine	77	73	$22.00	$16.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	59	$22.00	$16.51
G0103 Prostate cancer screening; prostate specific antigen test (psa)	74	74	$40.00	$20.03
J1040 Injection, methylprednisolone acetate, 80 mg	68	55	$22.00	$12.07
90662 Influenza vaccine split virus, preservative free	66	62	$67.91	$54.30
81002 Urinalysis, manual test	42	33	$17.00	$3.41
80048 Blood test, basic group of blood chemicals (calcium, total)	42	38	$20.00	$9.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$270.00	$164.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	31	31	$30.00	$16.22
G0009 Administration of pneumococcal vaccine	27	27	$22.00	$16.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$115.00	$110.71
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$62.00	$16.95
99495 Transitional care management services for problem of at least moderate complexity	16	16	$250.00	$163.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$200.00	$171.45
90756 Vaccine for influenza for injection into muscle	15	15	$27.00	$26.13
84550 Uric acid level, blood	14	14	$20.00	$4.92
82728 Ferritin (blood protein) level	13	11	$20.00	$14.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$350.00	$195.12
69209 Removal of impacted ear wax by washing	12	12	$40.83	$15.24
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$175.00	$164.72
82306 Vitamin d-3 level	11	11	$40.00	$32.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	620	351	$172.73	$101.73
99213 Established patient office or other outpatient visit, typically 15 minutes	550	355	$118.03	$69.53
80053 Blood test, comprehensive group of blood chemicals	336	263	$25.00	$12.78
84443 Blood test, thyroid stimulating hormone (TSH)	262	224	$40.00	$20.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	253	226	$20.00	$9.37
80061 Blood test, lipids (cholesterol and triglycerides)	237	205	$35.00	$16.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$175.00	$111.95
83036 Hemoglobin A1C level	157	102	$85.00	$11.61
G0444 Annual depression screening, 5 to 15 minutes	151	151	$25.00	$17.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$265.29	$156.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	71	$22.00	$19.56
G0008 Administration of influenza virus vaccine	83	83	$22.00	$20.22
J1040 Injection, methylprednisolone acetate, 80 mg	73	68	$22.00	$12.78
81002 Urinalysis, manual test	73	57	$17.00	$3.41
90662 Influenza vaccine split virus, preservative free	71	71	$54.00	$52.30
G0103 Prostate cancer screening; prostate specific antigen test (psa)	71	71	$40.00	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	48	41	$20.00	$10.03
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	41	$30.00	$16.22
82306 Vitamin d-3 level	32	31	$40.00	$34.76
83721 Ldl cholesterol level	27	27	$40.00	$11.54
69210 Removal of impacted ear wax	19	19	$78.95	$44.40
83735 Magnesium level	18	16	$40.00	$8.10
99495 Transitional care management services for problem of at least moderate complexity	18	18	$250.00	$157.66
G0009 Administration of pneumococcal vaccine	17	17	$22.00	$20.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$200.00	$164.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$109.38	$102.74
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$62.00	$15.35
90756 Vaccine for influenza for injection into muscle	12	12	$27.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	654	346	$170.00	$105.07
99213 Established patient office or other outpatient visit, typically 15 minutes	626	359	$115.00	$71.69
80053 Blood test, comprehensive group of blood chemicals	332	265	$25.00	$11.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	308	254	$20.00	$10.45
84443 Blood test, thyroid stimulating hormone (TSH)	273	233	$40.00	$22.59
80061 Blood test, lipids (cholesterol and triglycerides)	263	223	$35.00	$14.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	197	197	$175.00	$114.30
83036 Hemoglobin A1C level	181	112	$85.00	$13.05
G0444 Annual depression screening, 5 to 15 minutes	161	161	$25.00	$17.79
G0008 Administration of influenza virus vaccine	120	120	$22.00	$21.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$260.00	$162.05
90662 Influenza vaccine split virus, preservative free	100	100	$54.00	$48.05
85610 Blood test, clotting time	98	16	$25.00	$5.28
80048 Blood test, basic group of blood chemicals (calcium, total)	96	77	$20.00	$10.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	60	$34.18	$25.04
81002 Urinalysis, manual test	68	57	$17.00	$3.43
G0103 Prostate cancer screening; prostate specific antigen test (psa)	66	66	$40.00	$24.73
J1040 Injection, methylprednisolone acetate, 80 mg	63	55	$22.00	$11.29
82306 Vitamin d-3 level	60	59	$40.00	$36.53
83721 Ldl cholesterol level	53	50	$40.00	$12.83
G0009 Administration of pneumococcal vaccine	33	33	$22.00	$21.56
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$100.00	$94.90
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	26	12	$68.00	$41.03
87804 Detection test by immunoassay with direct visual observation for influenza virus	25	25	$30.00	$16.11
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$62.00	$16.74
36415 Insertion of needle into vein for collection of blood sample	20	19	$5.00	$2.94
69210 Removal of impacted ear wax	19	18	$75.00	$48.51
83735 Magnesium level	19	14	$40.00	$9.01
82728 Ferritin (blood protein) level	18	14	$20.00	$18.33
Q2039 Influenza virus vaccine, not otherwise specified	17	17	$27.00	$22.33
84550 Uric acid level, blood	17	15	$20.00	$6.06
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$254.00	$40.38
99495 Transitional care management services for problem of at least moderate complexity	16	16	$250.00	$152.54
84153 Psa (prostate specific antigen) measurement, total	15	14	$35.00	$24.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$81.00	$50.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$175.00	$162.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$350.00	$195.00
84450 Liver enzyme (sgot), level	12	11	$20.00	$4.92
84460 Liver enzyme (sgpt), level	12	11	$20.00	$4.92

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX P5900

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Catalyst Physician Group - Ntx, Pllc

469 Westpark Way, Euless, TX 760403957

Phone: 8172832888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Robert Tafel , MD

Internal Medicine

NPI 1114922507

Doctor of Medicine (M.D.)

Dr. Stephen Buksh , MD

Internal Medicine

NPI 1427053396

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Dr. Marty Buchanan , MD

Internal Medicine

NPI 1649275744

Doctor of Medicine (M.D.)

Dr. Marc Chapman , MD

Internal Medicine

NPI 1679578777

Doctor of Medicine (M.D.)

Dr. Rebeca Mayol-Sharp , MD

Internal Medicine

NPI 1962407353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2014

Registered at 469 WESTPARK WAY, EULESS, TX 760403957 (Tel: 8172832888)

📍

Updated Business Mailing Address September 30, 2014

Registered at 2102 SCENIC BAY DR, ARLINGTON, TX 760135204 (Tel: 8173684826)

👤

Provider Name / Credentials Updated September 30, 2014

Recorded as PHU TRUONG, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2014

Internal Medicine (License #P5900 in TX)

🟢

Initial NPI Registration & Enumeration November 08, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750668448

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2011

Last Update: September 30, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2102 Scenic Bay Dr

Arlington, TX 760135204

Phone: 8173684826

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.