MEDICARE: STONE GLEN ALLIANCE PLLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1861120271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONE GLEN ALLIANCE PLLC

Provider Business Mailing Address
First Line	:	4400 HERITAGE TRACE PKWY STE 212
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8902
Country	:	US
Telephone Number	:	817-482-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 HERITAGE TRACE PKWY STE 212
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-8902
Country	:	US
Telephone Number	:	817-482-1400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	THANH-XUAN NGUYEN
Credential	:
Telephone Number	:	817-482-1400

Provider Enumeration Date	:	08/12/2022
Last Update Date	:	08/25/2022

Similar Medicare Providers

1720081631 — ABDUL BASIT M.D.
Practice Location Address:

4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX
76244-8902

Practice Phone: 817-518-9005
Practice Fax: 817-518-9015

1932294469 — DR. SARITHA DODLA M.D.
Practice Location Address:

4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX
76244-8902

Practice Phone: 817-518-9005
Practice Fax: 817-518-9015

1578904512 — EXCEL CARDIAC CARE PLLC
Practice Location Address:

4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX
76244-8902

Practice Phone: 817-518-9005
Practice Fax: 817-518-9015

1366938466 — TIANNE YARBROUGH DDS
Practice Location Address:

4400 HERITAGE TRACE PKWY STE 212
FORT WORTH, TX
76244-8902

Practice Phone: 817-482-1400
Practice Fax:

1720778293 — PULSE HEART AND VASCULAR PLLC
Practice Location Address:

4400 HERITAGE TRACE PKWY STE 208
FORT WORTH, TX
76244-8902

Practice Phone: 817-518-9005
Practice Fax: 817-518-9015

1205680238 — LUMEN ORTHOTICS & PROSTHETICS
Practice Location Address:

8902 STOCKBRIDGE PL
FORT WAYNE, IN
46804-3454

Practice Phone: 460-450-4999
Practice Fax:

Directions to “STONE GLEN ALLIANCE PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.