Individual
DR. BAO-TRAM XUAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(972) 596-6800
Mailing address
1820 PRESTON PARK BLVD, STE 1825, PLANO, TX 75093-3656
(972) 867-7862
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
M4393
TX
2085R0202X
Diagnostic Radiology Physician
212931
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069440
—
MA
01
—
469348
TUFTS HEALTH PLAN
MA
01
—
J27632
BCBS MA
MA
Enumeration date
11/30/2005
Last updated
10/18/2022
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