Physician Compare National (NPI:1629273271)

HEALTHCARE PROVIDER: SON XUAN NGUYEN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1629273271
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769641612
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120312000894
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NGUYEN
	Individual professional last name
Provider First Name	SON
	Individual professional first name
Provider Middle Name	XUAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	400 W ARBROOK BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 331
	Group Practice or individual's line 2 address
City	ARLINGTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	760143182
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450675
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CITY ARLINGTON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	670023
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	METHODIST MANSFIELD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y