Individual
DR. VINCENT TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17520 OLD JEFFERSON HWY, STE B, PRAIRIEVILLE, LA 70769-3929
(225) 673-8983
(225) 677-8983
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD200621
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071005
—
LA
01
—
248568YRBU
MEDICARE PTAN
LA
Enumeration date
02/03/2007
Last updated
09/24/2014
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