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Organization

ADDISON INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRI NGUYEN M.D. (MEDICAL DIRECTOR)
(972) 733-3090
Entity
Organization

Contact information

Practice address
17051 DALLAS PKWY STE 150, ADDISON, TX 75001-7106
(972) 733-3090
(972) 733-4565
Mailing address
17051 DALLAS PKWY STE 150, ADDISON, TX 75001-7106
(972) 733-3090
(972) 733-4565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128604
TX

Other

Enumeration date
07/24/2015
Last updated
07/24/2015
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