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NPI Code Detail

MEDICARE: HUNG THE NGUYEN, MDPA

MEDICARE: HUNG THE NGUYEN, MDPA
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
1261QP2300XPrimary Care Clinic/CenterM5854TX

General Provider Information

NPI Number : 1356594378
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNG THE NGUYEN, MDPA
Provider Business Mailing Address
First Line : 925 WRIGHT ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4731
Country : US
Telephone Number : 817-801-5704
Fax Number : 817-801-5707
Provider Business Practice Location Address
First Line : 925 WRIGHT ST
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-4731
Country : US
Telephone Number : 817-801-5704
Fax Number : 817-801-5707
Authorized Official
Title or Position : PRESIDENT
Name : DR. HUNG THE NGUYEN
Credential : M.D.
Telephone Number : 817-801-5704
Provider Enumeration Date : 11/04/2008
Last Update Date : 12/02/2008

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Directions to “HUNG THE NGUYEN, MDPA ” Practice Location

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