Individual
PHUONG THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, SUITE 460 S, MARRERO, LA 70072-3151
(504) 349-6735
(504) 349-6739
Mailing address
PO BOX 1060, HARVEY, LA 70059
(504) 349-6735
(504) 349-6739
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L# 023176
LA
Other
Enumeration date
10/14/2006
Last updated
07/08/2007
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