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NPI Code Detail

MEDICARE: HUYEN TRAN NGOC NGUYEN PA

MEDICARE:   HUYEN TRAN NGOC NGUYEN  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1154014512
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUYEN TRAN NGOC NGUYEN PA
Provider Business Mailing Address
First Line : 5917 CROSSTOWN EXPY # 286
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78417-3504
Country : US
Telephone Number : 361-854-0811
Fax Number : 361-806-5040
Provider Business Practice Location Address
First Line : 1201 W UNIVERSITY DR
Second Line :
City : EDINBURG
State : TX
Zip : 78539-2909
Country : US
Telephone Number : 956-665-7049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 03/24/2026

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Directions to “ HUYEN TRAN NGOC NGUYEN PA” Practice Location

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