Individual
PHAT TAN LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 W CRAIG RD STE 220, NORTH LAS VEGAS, NV 89032-0329
(303) 960-1188
Mailing address
1550 W CRAIG RD STE 220, NORTH LAS VEGAS, NV 89032-0329
(303) 960-1188
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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