Individual
DR. DERRICK DUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 S AUSTIN AVE STE 315, GEORGETOWN, TX 78626-7642
(512) 358-9428
(737) 710-1920
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M7471
TX
207RH0003X
Hematology & Oncology Physician
M7471
TX
207RX0202X
Medical Oncology Physician
Primary
M7471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209992101
—
TX
05
—
209992102
—
TX
01
—
P00807996
RAILROAD MEDICARE
TX
Enumeration date
02/06/2007
Last updated
12/29/2025
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