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1053384321

NPI Code Detail

MEDICARE: KEVIN THONG NGUYEN MD

MEDICARE: KEVIN THONG NGUYEN MD

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
1	207R00000X	Internal Medicine Physician	N4617	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053384321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN THONG NGUYEN MD

Provider Business Mailing Address
First Line	:	5310 GALAXIE RD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-4502
Country	:	US
Telephone Number	:	214-221-6362
Fax Number	:	214-345-8784

Provider Business Practice Location Address
First Line	:	8200 WALNUT HILL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4426
Country	:	US
Telephone Number	:	214-221-6362
Fax Number	:	214-345-8784

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/04/2011

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Directions to “ KEVIN THONG NGUYEN MD” Practice Location

Language	Start Address	Practice Location

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