Provider Demographics
NPI:1962931766
Name:NGUYEN, QUOC-BAO DUY (MD)
Entity type:Individual
Prefix:DR
First Name:QUOC-BAO
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:4197 WOODLANDS PKWY
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3493
Mailing Address - Country:US
Mailing Address - Phone:813-333-1512
Mailing Address - Fax:813-333-1561
Practice Address - Street 1:2700 W ANDERSON LN STE 403
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1153
Practice Address - Country:US
Practice Address - Phone:512-786-3498
Practice Address - Fax:512-243-7236
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR9527207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery