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Individual

DR. DIANE PHUONG NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6502 NURSERY DR., SUITE 100, VICTORIA, TX 77904
(361) 575-0611
(512) 263-9975
Mailing address
1010 RANCH RD. 630 S, SUITE 108, LAKEWAY, TX 78738
(512) 502-4556
(512) 263-9975

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L8863
TX
2084P0802X
Addiction Psychiatry Physician
L8863
TX
2084P0805X
Geriatric Psychiatry Physician
L8863
TX

Other

Enumeration date
01/24/2007
Last updated
01/30/2025
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