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NPI Code Detail

MEDICARE: HOA T NGUYEN MD

MEDICARE: HOA T NGUYEN MD
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
1207Q00000XFamily Medicine PhysicianM2421TX
2207Q00000XFamily Medicine PhysicianMD10662RLA
3207P00000XEmergency Medicine PhysicianMD.10662RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396799771
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOA T NGUYEN MD
Provider Business Mailing Address
First Line : PO BOX 89
Second Line :
City : OAK RIDGE
State : LA
Zip : 71264
Country : US
Telephone Number : 318-396-2715
Fax Number : 318-397-4914
Provider Business Practice Location Address
First Line : 309 JACKSON STREET
Second Line :
City : MONROE
State : LA
Zip : 71201
Country : US
Telephone Number : 318-327-4000
Fax Number : 318-397-4914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/15/2009

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Directions to “ HOA T NGUYEN MD” Practice Location

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