Basic Information
| Provider Information | |||||||||
| NPI: | 1245651454 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VINCENT NGUYEN M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14272 ESSEN TERRACE DR | ||||||||
| Address2: | |||||||||
| City: | GONZALES | ||||||||
| State: | LA | ||||||||
| PostalCode: | 707377088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2257150597 | ||||||||
| FaxNumber: | 2256778983 | ||||||||
| Practice Location | |||||||||
| Address1: | 8000 SUMMA AVE | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708093423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2258190703 | ||||||||
| FaxNumber: | 2259064085 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2013 | ||||||||
| LastUpdateDate: | 12/16/2013 | ||||||||
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| AuthorizedOfficialLastName: | NGUYEN | ||||||||
| AuthorizedOfficialFirstName: | VINCENT | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2257150597 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.