MEDICARE: HOWARD H NGUYEN D.O

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	207Q00000X	Family Medicine Physician	K0959	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1548405103	OTHER	TX	MEDICARE GROUP NPI
2	8F20486	OTHER	TX	MEDICARE INDIVIDUAL PTAN
5	0A3311	OTHER	TX	MEDICARE GROUP PTAN
6	1932174711	OTHER	TX	MEDICARE INDIVIDUAL NPI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	752906860	OTHER	TX	TAX ID

General Provider Information

NPI Number	:	1932174711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD H NGUYEN D.O

Provider Business Mailing Address
First Line	:	PO BOX 630615
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-0130
Country	:	US
Telephone Number	:	214-630-9559
Fax Number	:	214-630-4992

Provider Business Practice Location Address
First Line	:	2261 SINGLETON BLVD
Second Line	:	#101
City	:	DALLAS
State	:	TX
Zip	:	75212-3733
Country	:	US
Telephone Number	:	214-630-9559
Fax Number	:	214-630-4992

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	03/12/2009

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Directions to “ HOWARD H NGUYEN D.O” Practice Location

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