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Individual

DANIEL V NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 EVERETT #400, KYLE, TX 78640-6147
(512) 504-5186
(512) 504-5536
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8870
TX
207R00000X
Internal Medicine Physician
MD421772
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012175160001
PA
01
1871531061
BSBS TX
TX
05
199271101
TX
05
199271104
TX
01
8X6787
BCBSTX
TX
Enumeration date
06/02/2006
Last updated
10/07/2014
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