Individual
TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3502 9TH ST, STE 410, LUBBOCK, TX 79415-3300
(806) 743-4115
(806) 743-1313
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M2422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10142612
DPS
TX
01
—
146200101
FIRSTCARE COMMERCIAL
TX
05
—
146200102
—
TX
05
—
179081801
—
TX
01
—
200074720A
OK HEALTHCARE AUTHORITY
OK
01
—
202004124
PRESBYTERIAN COMMERCIAL
NM
05
—
202004124
—
NM
05
—
34920714
—
NM
01
—
8A2678
BC/BS
TX
01
—
8M0737
HMO BLUE
TX
Enumeration date
04/24/2006
Last updated
03/07/2023
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