MEDICARE: ARIANA 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
1	363A00000X	Physician Assistant	PA09448	TX

General Provider Information

NPI Number	:	1740678713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA NGUYEN

Provider Business Mailing Address
First Line	:	PO BOX 734812
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-4812
Country	:	US
Telephone Number	:	210-358-9500
Fax Number	:	210-358-9183

Provider Business Practice Location Address
First Line	:	1256 PINN RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-1828
Country	:	US
Telephone Number	:	210-644-2060
Fax Number	:	210-702-6976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2014
Last Update Date	:	05/09/2025

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Directions to “ ARIANA NGUYEN ” Practice Location

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