Individual
DR. TRUC TRUNG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8715 VILLAGE DR, SUITE 608, SAN ANTONIO, TX 78217-5405
(210) 798-4311
(210) 798-4318
Mailing address
8711 VILLAGE DR, SUITE 114, SAN ANTONIO, TX 78217-5418
(210) 798-4311
(210) 798-4318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R1238
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R1238
TX
Other
Enumeration date
03/14/2007
Last updated
04/12/2017
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