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NPI Code Detail

MEDICARE: DR. NICK NGUYEN DC, NP-C

MEDICARE: DR. NICK NGUYEN DC, NP-C
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
1363L00000XNurse Practitioner777198TX
2363LF0000XFamily Nurse Practitioner777198TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TXB149788OTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861491847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICK NGUYEN DC, NP-C
Provider Business Mailing Address
First Line : 2700 SANDCREST DR
Second Line :
City : MANVEL
State : TX
Zip : 77578-3245
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/03/2025

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