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Individual
DR. NICOLE N NGUYEN
Active
Individual
DR. NICOLE N NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00438N
TAMG GROUP MEDICARE NUMBE
TX
01
—
080591301
TAMG - GROUP MEDICAID NUM
TX
01
—
10001202
TAMG AMERIGROUP GROUP NUM
TX
01
—
10012256
TAMG AMERIGROUP INDIVIDUA
TX
05
—
171991601
—
TX
01
—
8H1981
TAMG BCBS INDIVIDUAL
TX
Enumeration date
09/09/2005
Last updated
01/22/2025
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