Organization
ADVANCED BONE & JOINT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEN NGUYEN M.D. (MANAGER)
(817) 265-8777
Entity
Organization
Contact information
Practice address
3629 WESTERN CENTER BLVD STE 221, FORT WORTH, TX 76137-1940
(817) 232-9115
Mailing address
1327 E PIONEER PKWY, ARLINGTON, TX 76010-5868
(817) 265-8777
(817) 265-0802
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7027750001
DME SUPPLIER
TX
Enumeration date
10/07/2013
Last updated
06/06/2014
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