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Individual

MAI THANH-THUY NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD (CREDENTIALING), JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-1455
(210) 916-3585
Mailing address
3551 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD (CREDENTIALING), JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-1455
(210) 916-3585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
87535
FL
207R00000X
Internal Medicine Physician
N2687
TX
207RN0300X
Nephrology Physician
Primary
N2687
TX
208000000X
Pediatrics Physician
87535
FL
2080P0210X
Pediatric Nephrology Physician
N2687
TX

Other

Enumeration date
08/01/2006
Last updated
05/18/2015
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