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NPI Code Detail

MEDICARE: TRANG NGUYEN, OD, PA

MEDICARE: TRANG NGUYEN, OD, PA
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
1152W00000XOptometrist6140TTX

General Provider Information

NPI Number : 1053609255
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANG NGUYEN, OD, PA
Provider Business Mailing Address
First Line : 1517 HILL CREEK DR
Second Line :
City : GARLAND
State : TX
Zip : 75043-7591
Country : US
Telephone Number : 214-718-6394
Fax Number :
Provider Business Practice Location Address
First Line : 12300 LAKE JUNE RD
Second Line :
City : BALCH SPRINGS
State : TX
Zip : 75180-1636
Country : US
Telephone Number : 972-913-0595
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TRANG NGUYEN
Credential : O.D.
Telephone Number : 214-718-6394
Provider Enumeration Date : 07/21/2011
Last Update Date : 07/21/2011

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Directions to “TRANG NGUYEN, OD, PA ” Practice Location

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