Individual
BAO VINH NGUYEN PHUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1413 N BEACH ST, FORT WORTH, TX 76111-6614
(817) 831-0034
(817) 831-2030
Mailing address
1413 N BEACH ST, FORT WORTH, TX 76111-6614
(817) 831-0034
(817) 831-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K8667
TX
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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