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NPI Code Detail

MEDICARE: DR. HIEU NGUYEN DO

MEDICARE: DR. HIEU NGUYEN DO
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
1207Q00000XFamily Medicine Physician2016022782MO
2207Q00000XFamily Medicine Physician26298MS
3207Q00000XFamily Medicine Physician93622GA
4207Q00000XFamily Medicine PhysicianOS17990FL

General Provider Information

NPI Number : 1952854978
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HIEU NGUYEN DO
Provider Business Mailing Address
First Line : 1710 KELLER PKWY STE 3260
Second Line :
City : KELLER
State : TX
Zip : 76248-3749
Country : US
Telephone Number : 929-696-1130
Fax Number :
Provider Business Practice Location Address
First Line : 8270 WOODLAND CENTER BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33614-2401
Country : US
Telephone Number : 929-696-1130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2016
Last Update Date : 03/02/2026

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