Organization
RIO GRANDE EAR NOSE THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN DUONG NGUYEN M.D. (OWNER)
(956) 425-9090
Entity
Organization
Contact information
Practice address
1901 N ED CAREY DR, SUITE 200, HARLINGEN, TX 78550-8255
(956) 425-9090
(956) 425-9092
Mailing address
1901 N ED CAREY DR, SUITE 200, HARLINGEN, TX 78550-8255
(956) 425-9090
(956) 425-9092
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L0455
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164128401
—
TX
Enumeration date
06/21/2006
Last updated
06/19/2008
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