Individual
LISA MY PHUNG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2200 ROY RICHARD DR, SCHERTZ, TX 78154-2723
(210) 566-4777
(210) 566-4779
Mailing address
123 ROY SMITH ST APT 1503, SAN ANTONIO, TX 78215-1359
(954) 235-4635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
V0077
TX
390200000X
Student in an Organized Health Care Education/Training Program
UO4856
FL
Other
Enumeration date
04/23/2021
Last updated
07/01/2024
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