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Individual

DON V NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
141 INDUSTRIAL AVE, AZLE, TX 76020-2901
(817) 444-3231
(817) 444-0992
Mailing address
4504 BOAT CLUB RD, 800, FORT WORTH, TX 76135-7003
(817) 237-4794
(817) 237-4880

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04872
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193476203
TX
01
PA04872
STATE LICENSE
TX
Enumeration date
08/11/2006
Last updated
10/18/2010
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