Individual
DR. LUC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-2015
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N9104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323761201
—
TX
01
—
323761202
MEDICAID CSHCN
TX
Enumeration date
06/25/2008
Last updated
01/08/2014
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