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NPI Code Detail

MEDICARE: DR. ANH TAT NGUYEN MD

MEDICARE: DR. ANH TAT NGUYEN MD
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
1207P00000XEmergency Medicine PhysicianN4616TX
2261QU0200XUrgent Care Clinic/CenterTX
3207Q00000XFamily Medicine PhysicianN4616TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BP1 0032925OTHERTXPIT

General Provider Information

NPI Number : 1578726154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANH TAT NGUYEN MD
Provider Business Mailing Address
First Line : 3425 GRANDE BULEVAR
Second Line :
City : IRVING
State : TX
Zip : 75062-5108
Country : US
Telephone Number : 972-639-5836
Fax Number :
Provider Business Practice Location Address
First Line : 3425 GRANDE BULEVAR
Second Line :
City : IRVING
State : TX
Zip : 75062-5108
Country : US
Telephone Number : 972-272-5935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 10/30/2023

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Directions to “ DR. ANH TAT NGUYEN MD” Practice Location

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