Individual
PHUONG MINH NGUYEN-LUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3501 N MACARTHUR BLVD STE 310, IRVING, TX 75062-3651
(214) 879-3505
(214) 879-3507
Mailing address
1330 PRUDENTIAL DR STE 100, DALLAS, TX 75235-4123
(214) 879-3505
(214) 879-3507
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R2187
TX
207VG0400X
Gynecology Physician
R2187
TX
207VX0000X
Obstetrics Physician
R2187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3795627
—
TX
Enumeration date
03/25/2013
Last updated
04/25/2018
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