Individual
BAO TRAM NGOC HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2429 M ST, OMAHA, NE 68107-2715
(402) 227-6138
Mailing address
6321 S 109TH ST, OMAHA, NE 68137-4716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2420
NE
363A00000X
Physician Assistant
Primary
2420
NE
Other
Enumeration date
03/23/2020
Last updated
07/25/2024
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