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Organization
JOHN YEN NGUYEN MD PLLC
Active
Organization
JOHN YEN NGUYEN MD PLLC
Active
Other names
Pioneer Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
YEN NGUYEN MD (OWNER)
(817) 265-8777
Entity
Organization
Contact information
Practice address
1321 E PIONEER PARKWAY, #A, ARLINGTON, TX 76010
(817) 265-8777
(817) 265-0802
Mailing address
1321 E PIONEER PARKWAY, #A, ARLINGTON, TX 76010
(817) 265-8777
(817) 265-0802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J6630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074DP
BCBS
TX
01
—
8A0583
BCBS
TX
Enumeration date
09/20/2006
Last updated
11/06/2007
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