Individual
BAO XUAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
703 E MARSHALL AVE STE 5007, LONGVIEW, TX 75601-5554
(903) 315-4882
Mailing address
703 E MARSHALL AVE STE 5007, LONGVIEW, TX 75601-5554
(903) 315-4500
(903) 502-6086
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
15145
SD
207RC0000X
Cardiovascular Disease Physician
20A19650
CA
207RC0000X
Cardiovascular Disease Physician
T4808
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
T4808
TX
Other
Enumeration date
05/06/2016
Last updated
10/10/2025
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