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Individual

DR. BAY VAN NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2060 SPACE PARK DR, #114, NASSAU BAY, TX 77058-3600
(281) 333-4556
Mailing address
2060 SPACE PARK DR, #114, NASSAU BAY, TX 77058-3600
(281) 333-4556

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E8762
TX
208D00000X
General Practice Physician
Primary
E8762
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10014783
AMERIGROUP
05
111803601
TX
Enumeration date
01/04/2006
Last updated
02/26/2008
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