Dan Dinh Nguyen D.o. P.a. | |
12879 Josey Ln Suite 100 Farmers Branch TX 75234-6396 | |
(972) 247-3600 | |
Not Available |
Full Name | Dan Dinh Nguyen D.o. P.a. |
---|---|
Speciality | Family Medicine |
Location | 12879 Josey Ln, Farmers Branch, Texas |
Authorized Official Name and Position | Dan Dinh Nguyen (PRESIDENT) |
Authorized Official Contact | 9722473600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dan Dinh Nguyen D.o. P.a. 12879 Josey Ln Suite 100 Farmers Branch TX 75234-6396 Ph: (972) 247-3600 | Dan Dinh Nguyen D.o. P.a. 12879 Josey Ln Suite 100 Farmers Branch TX 75234-6396 Ph: (972) 247-3600 |
NPI Number | 1568779742 |
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Provider Enumeration Date | 09/08/2010 |
Last Update Date | 07/13/2011 |
Medicare PECOS PAC ID | 7416136742 |
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Medicare Enrollment ID | O20110119000639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568779742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | L6126 (Texas) | Primary |
Provider Name | Dan D Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407934987 PECOS PAC ID: 1658394275 Enrollment ID: I20060315000572 |
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