MEDICARE: DR. ALEXANDER T NGUYEN M.D.

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	208600000X	Surgery Physician	N5907	TX
2	2086S0102X	Surgical Critical Care Physician	A82491	CA
3	208200000X	Plastic Surgery Physician	N5907	TX
4	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	N5907	TX
5	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	N5907	TX
6	390200000X	Student in an Organized Health Care Education/Training Program
7	2086S0122X	Plastic and Reconstructive Surgery Physician	N5907	TX
8	2086S0105X	Surgery of the Hand (Surgery) Physician	N5907	TX
9	2086S0127X	Trauma Surgery Physician	A82491	CA
10	2086S0129X	Vascular Surgery Physician	N5907	TX
11	2086S0105X	Surgery of the Hand (Surgery) Physician	A82491	CA
12	2086S0122X	Plastic and Reconstructive Surgery Physician	A82491	CA
13	2086S0127X	Trauma Surgery Physician	N5907	TX
14	2086S0129X	Vascular Surgery Physician	A82491	CA

General Provider Information

NPI Number	:	1750504528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER T NGUYEN M.D.

Provider Business Mailing Address
First Line	:	12201 MERIT DR STE 440
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-3106
Country	:	US
Telephone Number	:	214-613-1589
Fax Number	:	214-613-1590

Provider Business Practice Location Address
First Line	:	12201 MERIT DR STE 440
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-3106
Country	:	US
Telephone Number	:	214-613-1589
Fax Number	:	214-613-1590

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

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/08/2025

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