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Individual
DR. PAMELA PHUONG NGUYEN
Active
Individual
DR. PAMELA PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L2502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00438N
TAMG BCBS GROUP NUMBER
TX
01
—
080591301
TAMG GROUP MEDICAID NUMBE
TX
01
—
080591302
TAMG GROUP THSTEPS NUMB
TX
01
—
187050301
TAMG INDIVIDUAL MEDICAID
TX
05
—
187050301
—
TX
01
—
8H1985
TAMG BCBS INDIVIDUAL NUMB
TX
01
—
8J6546
TAMG MEDICARE INDIVIDUAL
TX
Enumeration date
08/26/2005
Last updated
07/18/2013
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