| Doctor Name: | DR. DIANE PHUONG NGUYEN |
| NPI Number: | 1346395613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | L8863 |
| Business Practice Address: | 1010 Ranch Road 620 S Ste 108 Lakeway, TX - 787345636 |
| Business Phone Number: | 5125024556 |
| Business Fax Number: | 5122639975 |
| Mailing Address: | 2303 Ranch Road 620 S, Ste 135, Pmb 125 LAKEWAY |
| State: | TX |
| Postal Code: | 787346219 |
| Phone Number: | 5125024556 |
| Fax Number: | 5122639975 |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | L8863 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |