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Individual
PHONG THANH NGUYEN
Active
Individual
PHONG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
37174
NE
208D00000X
General Practice Physician
Primary
37174
NE
363LF0000X
Family Nurse Practitioner
AP130529
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
04/06/2026
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