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Individual
DR. PHONG HOAI NGUYEN
Active
Individual
DR. PHONG HOAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K5362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038316801
—
TX
05
—
038316803
—
TX
01
—
8105J1
BCBSTX
TX
01
—
930091554
RAILROAD MEDICARE
TX
Enumeration date
06/15/2006
Last updated
05/26/2022
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