Individual
LONG NGUYEN XUAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N8026
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N8026
TX
207RP1001X
Pulmonary Disease Physician
A79487
CA
207RP1001X
Pulmonary Disease Physician
Primary
N8026
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200618530 A
—
OK
05
—
218833604
—
TX
05
—
218833605
—
TX
05
—
27402509
—
NM
Enumeration date
04/19/2006
Last updated
05/20/2024
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