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NPI Code Detail

MEDICARE: TAM DANG NGUYEN DO

MEDICARE: TAM DANG NGUYEN DO
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
1207Q00000XFamily Medicine PhysicianU3310TX
2207N00000XDermatology PhysicianU3310TX

General Provider Information

NPI Number : 1356977359
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAM DANG NGUYEN DO
Provider Business Mailing Address
First Line : 1790 N STONEBRIDGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7437
Country : US
Telephone Number : 972-390-9002
Fax Number : 972-984-7988
Provider Business Practice Location Address
First Line : 1790 N STONEBRIDGE DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-7437
Country : US
Telephone Number : 972-390-9002
Fax Number : 972-984-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2020
Last Update Date : 12/08/2025

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Directions to “ TAM DANG NGUYEN DO” Practice Location

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