Individual
TOUNG BA VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
1109 AVE K, DEL RIO, TX 78840
(830) 775-6600
(830) 775-6400
Mailing address
1109 AVE K, DEL RIO, TX 78840
(830) 775-6600
(830) 775-6400
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A47882
CA
207RC0000X
Cardiovascular Disease Physician
Primary
H0900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46KK
BCBS
TX
01
—
N32K
BCBS
TX
Enumeration date
05/30/2007
Last updated
07/08/2007
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