Individual
MR. BAOLONG VIET NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8601 VILLAGE DR STE 104, SAN ANTONIO, TX 78217-5509
(210) 942-4217
(830) 626-7110
Mailing address
8601 VILLAGE DR STE 104, SAN ANTONIO, TX 78217-5509
(210) 942-4217
(210) 538-2484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15028
TX
Other
Enumeration date
08/26/2021
Last updated
03/26/2024
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