MEDICARE: MYHIEN NGUYEN

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
1	122300000X	Dentist	41728	TX

General Provider Information

NPI Number	:	1366331233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYHIEN NGUYEN

Provider Business Mailing Address
First Line	:	4624 SHADY LAKE DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4624 SHADY LAKE DR
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76180-8026
Country	:	US
Telephone Number	:	682-234-7302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/02/2025

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Directions to “ MYHIEN NGUYEN ” Practice Location

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