Individual
DIANA NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 PEAKWOOD DR STE 5E, HOUSTON, TX 77090-2903
(904) 465-0966
Mailing address
501 DAVID AVE, PANAMA CITY, FL 32404-6017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15122
TX
Other
Enumeration date
08/24/2019
Last updated
11/08/2021
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