Thanh Lan Nguyen, PA

NPI #1104105485 in Azle, Texas

Provider Information

NPI Number: 1104105485
Entity Type: Individual
Name: Thanh Lan Nguyen, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 4, 2011
Last Updated: Aug 4, 2011

Practice Location

Address: 460 NORTHWEST PKWY
City: Azle
State: Texas
ZIP Code: 76020-3136
Phone: (866) 389-2727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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