Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 6387 | LA |
Y | 213EG0000X | General Practice | 6387 | LA |
NPI | 1003255423 |
---|---|
Provider Name | Dr. Bich Nguyen |
First Address | Harvey, LA 70058-7012 |
Second Address | Houma, LA 70360-4634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 06/11/2018 |