Phuong Ly is one of 25 OB/GYNs practicing in Longview, Texas .
Phuong Ly practices with Associated Clinicians Of East Texas.
Registry record (NPPES)
NPI
1336717453
Type
Type 1 · Individual
Primary taxonomy
Obstetrics & Gynecology · 207V00000X
Address on file
802 Medical Cir Ste 100
Enumerated
Jun 15, 2021
Record last updated
Oct 2, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXObstetrics/Gynecology
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
802 Medical Cir Suite 100Longview , TX 75605
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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