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NPI Code Detail

MEDICARE: PHUONG-DUNG JULIE NGUYEN MD

MEDICARE:   PHUONG-DUNG JULIE 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
1207RP1001XPulmonary Disease PhysicianH8290TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00328597OTHERTXRAILROAD MEDICARE INDIV #

Other Identifiers

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

General Provider Information

NPI Number : 1962486878
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUONG-DUNG JULIE NGUYEN MD
Provider Business Mailing Address
First Line : P. O. BOX 4346 DEPT # 114
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4346
Country : US
Telephone Number : 713-979-1190
Fax Number : 713-979-1197
Provider Business Practice Location Address
First Line : 6560 FANNIN STREET
Second Line : SUITE #1228
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 713-979-1190
Fax Number : 713-979-1197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 03/03/2022

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Directions to “ PHUONG-DUNG JULIE NGUYEN MD” Practice Location

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