| Casey Nguyen Md Pa | |
|
1420 N Macarthur Blvd Irving TX 75061-4409 | |
| (214) 596-9229 | |
| (214) 596-9231 |
| Full Name | Casey Nguyen Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1420 N Macarthur Blvd, Irving, Texas |
| Authorized Official Name and Position | Casey Nguyen (OWNER) |
| Authorized Official Contact | 2145969229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Nguyen Md Pa 1420 N Macarthur Blvd Irving TX 75061-4409 Ph: (214) 596-9229 | Casey Nguyen Md Pa 1420 N Macarthur Blvd Irving TX 75061-4409 Ph: (214) 596-9229 |
| NPI Number | 1104863109 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8123032158 |
|---|---|
| Medicare Enrollment ID | O20060130000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104863109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7825 (Texas) | Primary |
| Provider Name | Casey Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700832524 PECOS PAC ID: 5698714350 Enrollment ID: I20050502000960 |
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