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General NPI Number Information
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NPI Number | 1194925040
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Entity Type | Individual
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Provider Name | PHUC NGUYEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 5656 KELLEY ST
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City | HOUSTON
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State | TX
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Zip | 77026-1967
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Country | US
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Telephone | 713-566-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 7502 CAPEVIEW XING
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City | SPRING
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State | TX
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Zip | 77379-1480
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Country | US
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Telephone | 281-650-9262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301090175
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q2035
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License Number State | TX
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