Individual
STEPHANIE CHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 SW JOHNSON AVE, STE C, BURLESON, TX 76028-5834
(817) 766-7421
(817) 447-8100
Mailing address
621 SW JOHNSON AVE, STE C, BURLESON, TX 76028-5834
(817) 766-7421
(817) 447-8100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06983
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2010
Last updated
07/12/2016
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