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NPI Code Detail

MEDICARE: TO NGUYEN RBT

MEDICARE:   TO  NGUYEN  RBT
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
1106S00000XBehavior TechnicianRBT-17-42483TX

General Provider Information

NPI Number : 1942860879
Entity Type Code : Individual
Provider Name (Legal Business Name) : TO NGUYEN RBT
Provider Business Mailing Address
First Line : 1200 SUMMIT AVE STE 880
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-4429
Country : US
Telephone Number : 817-698-9500
Fax Number : 817-698-9506
Provider Business Practice Location Address
First Line : 1200 SUMMIT AVE STE 880
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-4429
Country : US
Telephone Number : 817-698-9500
Fax Number : 817-698-9506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2019
Last Update Date : 06/13/2019

Similar Medicare Providers

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1891201935 — SYDNEY KATHERINE MORRISON BCBA
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1396224333 — STEPHANIE RUSSELL BSN, RN
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FORT WORTH, TX
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1780248286 — EMILY GARZA RBT
Practice Location Address:
1200 SUMMIT AVE STE 880
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Directions to “ TO NGUYEN RBT” Practice Location

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