| Thousand Sunny Healthcare, Llc | |
|
891 Keller Pkwy Ste 101 Keller TX 76248-2486 | |
| (682) 564-1121 | |
| (682) 564-1036 |
| Full Name | Thousand Sunny Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 891 Keller Pkwy Ste 101, Keller, Texas |
| Authorized Official Name and Position | Huan Nguyen (OWNER) |
| Authorized Official Contact | 6822275912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thousand Sunny Healthcare, Llc 1205 Brookvalley Dr Arlington TX 76018-2961 Ph: (682) 227-5912 | Thousand Sunny Healthcare, Llc 891 Keller Pkwy Ste 101 Keller TX 76248-2486 Ph: (682) 564-1121 |
| NPI Number | 1003588823 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 2264820109 |
|---|---|
| Medicare Enrollment ID | O20211027000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Huan Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588013569 PECOS PAC ID: 2264720622 Enrollment ID: I20190507002026 |
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