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NPI Code Detail

MEDICARE: TAM NGUYEN MD

MEDICARE: TAM NGUYEN MD
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
1208000000XPediatrics PhysicianW1470TX

General Provider Information

NPI Number : 1679213987
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAM NGUYEN MD
Provider Business Mailing Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 214-456-9250
Fax Number : 214-456-1240
Provider Business Practice Location Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 214-456-9250
Fax Number : 214-456-1240
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 12/10/2025

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