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NPI Code Detail

MEDICARE: MIEN NGUYEN R.PH

MEDICARE: MIEN NGUYEN R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist43290TX

General Provider Information

NPI Number : 1437487949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIEN NGUYEN R.PH
Provider Business Mailing Address
First Line : 6551 FOREST HILL DR
Second Line :
City : FOREST HILL
State : TX
Zip : 76140-1205
Country : US
Telephone Number : 817-478-2952
Fax Number :
Provider Business Practice Location Address
First Line : 6551 FOREST HILL DR
Second Line :
City : FOREST HILL
State : TX
Zip : 76140-1205
Country : US
Telephone Number : 817-478-2952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2009
Last Update Date : 11/20/2009

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Directions to “ MIEN NGUYEN R.PH” Practice Location

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