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NPI Code Detail

MEDICARE: TRUNG B NGUYEN MD INC

MEDICARE: TRUNG B NGUYEN MD INC
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
1261QP3300XPain Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942201314
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUNG B NGUYEN MD INC
Provider Business Mailing Address
First Line : PO BOX 5038
Second Line :
City : ENID
State : OK
Zip : 73702-5038
Country : US
Telephone Number : 580-237-7246
Fax Number : 580-249-4152
Provider Business Practice Location Address
First Line : 401 S 3RD ST
Second Line :
City : ENID
State : OK
Zip : 73701-5737
Country : US
Telephone Number : 580-237-7246
Fax Number : 580-249-4152
Authorized Official
Title or Position : PROVIDER/OWNER
Name : TRUNG B NGUYEN
Credential : MD
Telephone Number : 580-237-7246
Provider Enumeration Date : 08/09/2005
Last Update Date : 12/16/2013

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Directions to “TRUNG B NGUYEN MD INC ” Practice Location

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