Organization
LONG.P.NGUYEN M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG PHAN NGUYEN M.D (PRESIDENT)
(713) 222-7246
Entity
Organization
Contact information
Practice address
4151 SOUTHWEST FWY, 410, HOUSTON, TX 77027-7312
(713) 222-7246
(713) 963-9993
Mailing address
PO BOX 460368, HOUSTON, TX 77056-8368
(713) 222-7246
(713) 963-9993
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G7293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10019810
—
TX
05
—
149775
—
TX
01
—
MDG7293
WORKER'S COMP
TX
Enumeration date
07/06/2007
Last updated
08/22/2020
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