Individual
QUYNH NGOC PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5900 BALCONES DR STE 23154, AUSTIN, TX 78731-4257
(972) 886-8869
Mailing address
5900 BALCONES DR STE 23154, AUSTIN, TX 78731-4257
(972) 886-8869
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1040222
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1040222
TX
Other
Enumeration date
11/07/2023
Last updated
01/19/2026
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