Individual
CHRISTOPHER VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
305 MALLARD LN, TAYLOR, TX 76574-1208
(512) 352-7611
(512) 352-4734
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062514
PA
363A00000X
Physician Assistant
MPA.3891PA
SC
363A00000X
Physician Assistant
Primary
PA19495
TX
363AM0700X
Medical Physician Assistant
MA062514
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0781410
—
NJ
Enumeration date
03/02/2021
Last updated
07/24/2026
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