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NPI Code Detail

MEDICARE: DR. TUAN ALEX NGUYEN M.D.

MEDICARE: DR. TUAN ALEX NGUYEN M.D.
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
1207P00000XEmergency Medicine Physician20755OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1731613065001OTHEROKBLUECROSS BLUESHELD

General Provider Information

NPI Number : 1982773784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TUAN ALEX NGUYEN M.D.
Provider Business Mailing Address
First Line : 2825 NW 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2213
Country : US
Telephone Number : 405-525-1975
Fax Number : 405-208-4096
Provider Business Practice Location Address
First Line : 2825 NW 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2213
Country : US
Telephone Number : 405-525-1975
Fax Number : 405-208-4096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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