Individual
LONG NGOC VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1694
TX
Other
Enumeration date
06/13/2014
Last updated
09/17/2014
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