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Organization
TUE DUC NGUYEN MD PA
Active
Organization
TUE DUC NGUYEN MD PA
Active
Other names
Northside Primary Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TUE DUC NGUYEN MD (DIRECTOR)
(832) 380-2580
Entity
Organization
Contact information
Practice address
6219 IRVINGTON BLVD, SUITE A, HOUSTON, TX 77022-5951
(832) 380-2580
(832) 380-2583
Mailing address
6219 IRVINGTON BLVD, SUITE A, HOUSTON, TX 77022-5951
(832) 380-2580
(832) 380-2583
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G1972
TX
207Q00000X
Family Medicine Physician
Primary
G1972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1972
TEXAS MEDICAL LICENSE
TX
Enumeration date
09/09/2014
Last updated
09/09/2014
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