Individual
ANH PHOA ANH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
221 3RD ST W, JBSA RANDOLPH, TX 78150-4800
(210) 652-2117
Mailing address
221 3RD ST W, JBSA RANDOLPH, TX 78150-4800
(210) 652-2117
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1108206
VA
Other
Enumeration date
01/29/2013
Last updated
04/15/2019
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