Individual
ETHAN QUAN NGUYEN
Active
Individual
ETHAN QUAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P0107
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322129302
—
TX
01
—
8EH645
BCBS
TX
01
—
P01446625
RR
TX
Enumeration date
07/13/2009
Last updated
07/12/2021
Update your record
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