Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | R2187 | TX |
N | 207VG0400X | Gynecologist | R2187 | TX |
N | 207VX0000X | Obstetrician | R2187 | TX |
NPI | 1225370596 |
---|---|
Provider Name | Phuong Minh Nguyen-Luu |
First Address | Dallas, TX 75235-4123 |
Second Address | Irving, TX 75062-3651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2013 |
Last Update Date | 25/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3795627 | (05) | TX |