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NPI Code Detail

MEDICARE: NAM NGUYEN

MEDICARE:   NAM  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
1363LF0000XFamily Nurse PractitionerAP144439TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP144439OTHERTXAPRN

General Provider Information

NPI Number : 1609415660
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAM NGUYEN
Provider Business Mailing Address
First Line : 1701 N COLLINS BLVD STE 2100
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3785
Country : US
Telephone Number : 972-997-5941
Fax Number : 972-499-1865
Provider Business Practice Location Address
First Line : 1701 N COLLINS BLVD STE 2100
Second Line :
City : RICHARDSON
State : TX
Zip : 75080-3785
Country : US
Telephone Number : 972-997-5941
Fax Number : 972-499-1865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2019
Last Update Date : 09/28/2025

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Directions to “ NAM NGUYEN ” Practice Location

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