Individual
DR. VICTOR HOTAN PHUOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102-4517
(505) 272-4946
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-1320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P9693
TX
2086X0206X
Surgical Oncology Physician
Primary
MD2016-0775
NM
2086X0206X
Surgical Oncology Physician
P9693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335829301
—
TX
Enumeration date
07/09/2009
Last updated
10/12/2016
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