Individual
MR. DAVID TAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1625 BARATARIA BLVD STE A, MARRERO, LA 70072-4308
(504) 309-5015
(504) 309-5012
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
327540
LA
Other
Enumeration date
05/19/2021
Last updated
09/20/2021
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