Individual
TAM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
Q5235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352382101
—
TX
01
—
352382102
CSHCN
TX
01
—
Q5235
TX MEDICAL BOARD
TX
01
—
R71706
ARIZONA MEDICAL BOARD
AZ
Enumeration date
07/14/2009
Last updated
01/19/2016
Update your record
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