MEDICARE: DO T NGUYEN DC

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	111N00000X	Chiropractor	11433	TX

General Provider Information

NPI Number	:	1891008983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DO T NGUYEN DC

Provider Business Mailing Address
First Line	:	406 RED RIVER TRL
Second Line	:	APT 1020
City	:	IRVING
State	:	TX
Zip	:	75063-4523
Country	:	US
Telephone Number	:	214-233-6590
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 N PLANO RD
Second Line	:	STE 101
City	:	RICHARDSON
State	:	TX
Zip	:	75082-4429
Country	:	US
Telephone Number	:	972-664-1294
Fax Number	:	972-664-1586

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

Provider Enumeration Date	:	07/19/2010
Last Update Date	:	07/19/2010

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Directions to “ DO T NGUYEN DC” Practice Location

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