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NPI Code Detail

MEDICARE: ANGEL KIM NGUYEN PT, DPT

MEDICARE:   ANGEL KIM NGUYEN  PT, DPT
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
1225100000XPhysical Therapist1362203TX

General Provider Information

NPI Number : 1841920139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL KIM NGUYEN PT, DPT
Provider Business Mailing Address
First Line : 105 LAGUNA VISTA WAY
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5673
Country : US
Telephone Number : 682-472-8422
Fax Number :
Provider Business Practice Location Address
First Line : 1441 S MIDLOTHIAN PKWY STE 170
Second Line :
City : MIDLOTHIAN
State : TX
Zip : 76065-5597
Country : US
Telephone Number : 972-723-0380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2022
Last Update Date : 06/10/2022

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Directions to “ ANGEL KIM NGUYEN PT, DPT” Practice Location

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