Individual
DR. HUYEN THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12501 JUDSON RD, SUITE 202, LIVE OAK, TX 78233-4103
(210) 599-4086
(210) 655-1401
Mailing address
12501 JUDSON RD, SUITE 202, LIVE OAK, TX 78233-4103
(210) 599-4086
(210) 655-1401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9241
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486268-01
—
TX
Enumeration date
10/12/2006
Last updated
07/08/2007
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