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General NPI Number Information
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NPI Number | 1013659036
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Entity Type | Individual
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Provider Name | CHRISTIAN NGUYEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1300 W TERRELL AVE STE K230
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City | FORT WORTH
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State | TX
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Zip | 76104-3104
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Country | US
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Telephone | 817-250-4906
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Fax | 817-250-1815
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Provider Business Mailing Address
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Address Line | 4902 TEN SLEEP LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-8102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | W0967
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License Number State | TX
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