Organization
EDGE-MD MEADOWBROOK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN P. NGUYEN MD (MD/OWNER)
(979) 532-2000
Entity
Organization
Contact information
Practice address
6302 MEADOWBROOK DR, SUITE 112, FORT WORTH, TX 76112-5162
(817) 446-0800
(817) 446-0802
Mailing address
2022 REGIONAL MEDICAL DR, SUITE 1315, WHARTON, TX 77488-7231
(979) 532-2000
(979) 532-2008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N0318
TX
Other
Enumeration date
11/20/2014
Last updated
01/13/2015
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