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NPI Code Detail

MEDICARE: DAN LE BAO NGUYEN

MEDICARE: DAN LE BAO NGUYEN
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
1183500000XPharmacist67943TX

General Provider Information

NPI Number : 1487244851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAN LE BAO NGUYEN
Provider Business Mailing Address
First Line : 10014 GARLAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75218-2917
Country : US
Telephone Number : 214-320-8690
Fax Number :
Provider Business Practice Location Address
First Line : 10014 GARLAND RD
Second Line :
City : DALLAS
State : TX
Zip : 75218-2917
Country : US
Telephone Number : 214-320-8690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2021
Last Update Date : 01/20/2021

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Directions to “ DAN LE BAO NGUYEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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