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NPI Code Detail

MEDICARE: RYAN NGUYEN DO

MEDICARE:   RYAN  NGUYEN  DO
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
1208000000XPediatrics PhysicianU2591TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1952939175
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN NGUYEN DO
Provider Business Mailing Address
First Line : 6431 FANNIN ST STE MSB 3151
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3044 OLD DENTON RD STE 138
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-5099
Country : US
Telephone Number : 972-245-0007
Fax Number : 972-980-3738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 02/18/2026

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Directions to “ RYAN NGUYEN DO” Practice Location

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