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NPI Code Detail

MEDICARE: DONG V NGUYEN DPM

MEDICARE: DONG V NGUYEN DPM
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
1213ES0131XFoot Surgery Podiatrist1687TX
2213E00000XPodiatrist1687TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18AM730OTHERTXBCBS OF TX
28FN698OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962486431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONG V NGUYEN DPM
Provider Business Mailing Address
First Line : PO BOX 732973
Second Line :
City : DALLAS
State : TX
Zip : 75373-4731
Country : US
Telephone Number :
Fax Number : 817-702-2140
Provider Business Practice Location Address
First Line : 1250 8TH AVE STE 600
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4121
Country : US
Telephone Number : 817-702-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 01/10/2024

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Directions to “ DONG V NGUYEN DPM” Practice Location

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