Individual
TONY NGUYEN CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532
(228) 230-2663
(228) 546-3257
Mailing address
6300 E LAKE BLVD STE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200790
LA
363A00000X
Physician Assistant
Primary
PA00293
MS
Other
Enumeration date
02/06/2015
Last updated
11/14/2019
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