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NPI Code Detail

MEDICARE: JERIE VUONG DPT, PT

MEDICARE: JERIE VUONG DPT, PT
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
1225100000XPhysical Therapist1408433TX

General Provider Information

NPI Number : 1982537171
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERIE VUONG DPT, PT
Provider Business Mailing Address
First Line : 3824 S CARRIER PKWY STE 490
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-6668
Country : US
Telephone Number : 817-461-4257
Fax Number : 817-461-4865
Provider Business Practice Location Address
First Line : 520 FIELDER NORTH PLZ
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-2309
Country : US
Telephone Number : 817-461-4257
Fax Number : 817-461-4865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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