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Individual

HAI DUC NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
2965 HARRISON ST STE 222, BEAUMONT, TX 77702-1100
(409) 892-1003
(409) 892-2655
Mailing address
2965 HARRISON ST STE 222, BEAUMONT, TX 77702-1100
(409) 892-1003
(409) 892-2655

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144893
TX
363LF0000X
Family Nurse Practitioner
AP144893
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346866944
TX
Enumeration date
06/19/2020
Last updated
11/11/2024
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