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NPI Code Detail

MEDICARE: JOHNNY NGUYEN SLP ASSISTANT

MEDICARE: JOHNNY NGUYEN SLP ASSISTANT
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
1235Z00000XSpeech-Language Pathologist41688TX

General Provider Information

NPI Number : 1942046800
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHNNY NGUYEN SLP ASSISTANT
Provider Business Mailing Address
First Line : 1962 LEATH ST
Second Line :
City : DALLAS
State : TX
Zip : 75212-1740
Country : US
Telephone Number : 469-450-5095
Fax Number :
Provider Business Practice Location Address
First Line : 4775 NORTH FWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number : 682-738-3056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2024
Last Update Date : 07/01/2024

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Directions to “ JOHNNY NGUYEN SLP ASSISTANT” Practice Location

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