Individual
DR. BRANDON NGHIA TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2642
(979) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
023903
LA
207P00000X
Emergency Medicine Physician
Primary
L5929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486124
—
LA
05
—
177040607
—
TX
01
—
8CF847
BCBS
TX
Enumeration date
05/26/2006
Last updated
10/02/2013
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