Healthcare Provider Details

I. General information

NPI: 1265695076
Provider Name (Legal Business Name): EAST WEST FAMILY CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CAPITAL FUNDS COURT
NASHVILLE TN
37217-3937
US

IV. Provider business mailing address

1001 CAPITAL FUNDS CT
NASHVILLE TN
37217-3937
US

V. Phone/Fax

Practice location:
  • Phone: 615-361-6713
  • Fax: 267-350-2118
Mailing address:
  • Phone: 615-361-6713
  • Fax: 267-350-2118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMD40492
License Number StateTN

VIII. Authorized Official

Name: MISS JENNY D HUYNH
Title or Position: OFFICE MANAGER
Credential:
Phone: 615-361-6713