Individual
PHUONG KIM LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
802 MEDICAL CIR STE 100, LONGVIEW, TX 75605-5207
(903) 757-6042
Mailing address
802 MEDICAL CIR STE 100, LONGVIEW, TX 75605-5207
(903) 757-6042
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
V9654
TX
Other
Enumeration date
06/15/2021
Last updated
10/02/2025
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