Individual
DR. BAO PHUONG N NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5445
(361) 694-5449
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721
(361) 694-5445
(361) 694-5449
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160648501
—
TX
Enumeration date
03/31/2006
Last updated
02/20/2017
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