Individual
PHUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
1721 W PLANO PKWY STE 212, PLANO, TX 75075
(469) 931-2177
(469) 209-6076
Mailing address
2250 S VALLEY PKWY APT 3207, LEWISVILLE, TX 75067-2056
(850) 341-1555
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1773
TX
224P00000X
Prosthetist
Primary
1773
TX
Other
Enumeration date
12/05/2017
Last updated
05/21/2018
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