Individual
MS. PHUOC T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15307
HI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15307
HI
208D00000X
General Practice Physician
15307
HI
Other
Enumeration date
06/27/2007
Last updated
06/29/2022
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