| Tri M. Nguyen, M.d. | |
|
5425 Matlock Rd Suite # 102 Arlington TX 76018-1557 | |
| (817) 200-7498 | |
| Not Available |
| Full Name | Tri M. Nguyen, M.d. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5425 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Tri M Nguyen (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8172007498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri M. Nguyen, M.d. 5425 Matlock Rd Suite # 102 Arlington TX 76018-1557 Ph: (817) 200-7498 | Tri M. Nguyen, M.d. 5425 Matlock Rd Suite # 102 Arlington TX 76018-1557 Ph: (817) 200-7498 |
| NPI Number | 1851620892 |
|---|---|
| Provider Enumeration Date | 12/22/2009 |
| Last Update Date | 12/22/2009 |
| Medicare PECOS PAC ID | 5698803393 |
|---|---|
| Medicare Enrollment ID | O20100517000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851620892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M1267 (Texas) | Primary |
| Provider Name | Tri M Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003952086 PECOS PAC ID: 8325053812 Enrollment ID: I20060221000286 |
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