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Individual

MR. DZUNG AN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7601 W SAM HOUSTON PARKWAY SOUTH, SUITE 850, HOUSTON, TX 77072
(713) 520-1115
(281) 271-8414
Mailing address
PO BOX 720705, HOUSTON, TX 77272-0705
(713) 520-1115
(281) 271-8414

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4324
TX
208D00000X
General Practice Physician
F4324
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10014900
AMERIGROUP
TX
05
112058601
TX
05
112058602
TX
Enumeration date
12/08/2005
Last updated
05/22/2020
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