Individual
DAT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 E LOOP 281, LONGVIEW, TX 75605-5098
(903) 663-0898
(903) 663-2091
Mailing address
315 BOIS D ARC ST, HALLSVILLE, TX 75650-6251
(941) 718-3106
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55631
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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