Individual
DR. KHOUA ALEX VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-7224
(336) 718-7598
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-7224
(336) 718-7598
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017254
NC
363LF0000X
Family Nurse Practitioner
VANG-XFMC3
NC
Other
Enumeration date
11/11/2022
Last updated
01/13/2025
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