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NPI Code Detail

MEDICARE: UYEN NGUYEN PA-C

MEDICARE:   UYEN  NGUYEN  PA-C
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 Assistant

General Provider Information

NPI Number : 1508281262
Entity Type Code : Individual
Provider Name (Legal Business Name) : UYEN NGUYEN PA-C
Provider Business Mailing Address
First Line : 9330 LBJ FWY STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75243-4310
Country : US
Telephone Number : 972-792-5700
Fax Number : 214-506-1170
Provider Business Practice Location Address
First Line : 16980 DALLAS PKWY STE 110
Second Line :
City : DALLAS
State : TX
Zip : 75248-1910
Country : US
Telephone Number : 972-733-3090
Fax Number : 972-733-4565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2014
Last Update Date : 04/09/2026

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Directions to “ UYEN NGUYEN PA-C” Practice Location

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