Individual
JACKLYN BICHTHUY TRAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5801 E TAFT RD, SYRACUSE, NY 13212-3291
(315) 418-4140
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
246814
NY
207L00000X
Anesthesiology Physician
516791
FL
207L00000X
Anesthesiology Physician
G80857
CA
207L00000X
Anesthesiology Physician
ME135966
FL
207L00000X
Anesthesiology Physician
N1482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G808570
—
CA
Enumeration date
07/26/2006
Last updated
12/19/2024
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