Tam Bao Nguyen, MD MSPH DIPABLM is a
Student In An Organized Health Care Education/training Program physician based in Tyler, Texas. Tam Bao Nguyen is licensed to practice in Texas (license number S0200) and his current practice location is 11937 Us Highway 271, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 877-7200.
NPI number for Tam Bao Nguyen is 1922430214 and his current mailing address is 2659 Abutment Rd, Dalton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922430214.
Physician's Profile
| Full Name | Tam Bao Nguyen |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 11937 Us Highway 271, Tyler, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922430214
- Provider Enumeration Date: 08/08/2013
- Last Update Date: 05/08/2024
Medical Identifiers
Medical identifiers for Tam Bao Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922430214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 75739 (Georgia) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | S0200 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | S0200 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tam Bao Nguyen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tam Bao Nguyen, MD MSPH DIPABLM
2659 Abutment Rd,
Dalton, GA 30721-4887
Ph: (706) 598-6700 | Tam Bao Nguyen, MD MSPH DIPABLM
11937 Us Highway 271,
Tyler, TX 75708-3154
Ph: (903) 877-7200 |
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