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Individual

VIET PHUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11609 SPRING CYPRESS RD STE C, TOMBALL, TX 77377-8917
(281) 290-6300
(281) 290-6302
Mailing address
11609 SPRING CYPRESS RD STE C, TOMBALL, TX 77377-8917
(281) 290-6300
(281) 290-6302

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2013-00042
NC
208600000X
Surgery Physician
57.015102
OH
208600000X
Surgery Physician
Primary
Q0537
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679728604
NC
05
NC1848
SC
Enumeration date
11/18/2008
Last updated
11/21/2022
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