Individual
LONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 KINGS HIGHWAY, PSYCHIATRY, SHREVEPORT, LA 71130-3932
(318) 626-2445
Mailing address
1501 KINGS HIGHWAY, PSYCHIATRY, SHREVEPORT, LA 71130-3932
(318) 626-2445
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U6037
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
04/23/2024
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