Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phuong Kim Ly, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1336717453

Phuong Kim Ly, MD is an Obstetrics/Gynecology in Longview, Texas. Graduated from University of Texas Medical Branch at Galveston in 2021, 5 years ago. Practices with Associated Clinicians of East Texas, a 106-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
University of Texas Medical Branch at Galveston
Licensed in
TX
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

802 Medical Cir Ste 100
Longview, TX 75605-5207
Phone: (903) 757-6042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence V9654 (TX)

Record details

NPI number1336717453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2021 (5 years in practice)
Group practice Associated Clinicians Of East Texas — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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