Individual
DR. TAN DUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E DOVE AVE STE 402, MCALLEN, TX 78504-4684
(956) 362-8125
(956) 362-8135
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8125
(956) 362-8135
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
LO455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043741006
—
TX
Enumeration date
06/28/2006
Last updated
07/29/2019
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