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Individual

CHAU BAO NGUYEN

Active
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Individual

CHAU BAO NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R10587
IA
207R00000X
Internal Medicine Physician
Primary
R9654
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4001752
TX
05
4001752-02
TX
01
R9654
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/11/2016
Last updated
11/14/2021
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