Nguyen, Derrick Duong
Nguyen, Derrick Duong is an individual health care provider with primary practice located at 2207 Clear Creek Rd , Killeen TX 76549-4132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Nguyen, Derrick Duong can be contacted via phone (254) 200-3200.Contact Information
Primary practice address
2207 Clear Creek Rd
Killeen TX 76549-4132
Phone: (254) 200-3200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | M7471 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M7471 | Texas |
Profile Details
| NPI number | 1518006501 |
|---|---|
| LBN Legal business name | Nguyen, Derrick Duong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jan 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518006501 | NPPES |
| Texas | MEDICAID | 209992101 | |
| Texas | Other | P00807996 | |
| Texas | MEDICAID | 209992102 |
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