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NPI Code Detail

MEDICARE: KAREN NGUM TAYONG

MEDICARE:   KAREN NGUM TAYONG
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
1225200000XPhysical Therapy Assistant2069559TX

General Provider Information

NPI Number : 1801399910
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN NGUM TAYONG
Provider Business Mailing Address
First Line : 1201 N WATSON RD STE 220
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-6120
Country : US
Telephone Number : 817-902-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1201 N WATSON RD STE 220
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-6120
Country : US
Telephone Number : 817-902-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 03/15/2018

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Directions to “ KAREN NGUM TAYONG ” Practice Location

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