# DR. NGAC NGUYEN PHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245582345
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 0116025291 | VA | — |
| 208D00000X | General Practice Physician | MD-16928 | HI | — |
| 208D00000X | General Practice Physician | S0535 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 04/25/2019