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NPI Code Detail

MEDICARE: DR. DIANA THI NGUYEN O.D.

MEDICARE:  DR. DIANA THI NGUYEN  O.D.
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
1152WC0802XCorneal and Contact Management Optometrist5349TTX

Other Identifiers

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

General Provider Information

NPI Number : 1255302477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA THI NGUYEN O.D.
Provider Business Mailing Address
First Line : 8013 STILL SPRINGS DR
Second Line :
City : PLANO
State : TX
Zip : 75025-3947
Country : US
Telephone Number : 214-341-0422
Fax Number : 214-341-0422
Provider Business Practice Location Address
First Line : 12000 MCCREE RD
Second Line :
City : DALLAS
State : TX
Zip : 75238-3275
Country : US
Telephone Number : 214-341-0422
Fax Number : 241-341-0422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 10/02/2019

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