# JOHN YEN NGUYEN MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pioneer Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700983939
- **Authorized official:** YEN NGUYEN MD (OWNER)
- **Authorized official phone:** (817) 265-8777

## Contact information

- **Practice address:** 1321 E PIONEER PARKWAY, \#A, ARLINGTON, TX 76010
- **Practice address phone:** (817) 265-8777
- **Practice address fax:** (817) 265-0802
- **Mailing address:** 1321 E PIONEER PARKWAY, \#A, ARLINGTON, TX 76010
- **Mailing address phone:** (817) 265-8777
- **Mailing address fax:** (817) 265-0802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | J6630 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0074DP | BCBS | TX |
| 01 | — | 8A0583 | BCBS | TX |