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NPI Code Detail

MEDICARE: MISS CINDY NGUYEN PA

MEDICARE: MISS CINDY NGUYEN 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
1363A00000XPhysician AssistantPA02004TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA02004OTHERTXMEDICAL LICENSE

General Provider Information

NPI Number : 1336162429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS CINDY NGUYEN PA
Provider Business Mailing Address
First Line : 2750 S 8TH ST
Second Line : P O BOX 3846
City : BEAUMONT
State : TX
Zip : 77701-7719
Country : US
Telephone Number : 409-839-1000
Fax Number : 409-839-1066
Provider Business Practice Location Address
First Line : 2750 S 8TH ST
Second Line :
City : BEAUMONT
State : TX
Zip : 77701-7719
Country : US
Telephone Number : 409-839-1000
Fax Number : 409-839-1066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ MISS CINDY NGUYEN PA” Practice Location

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