Individual
DIANA KIM NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
(817) 761-7742
Mailing address
349 CORRAL ACRES WAY, FORT WORTH, TX 76120-4306
(817) 718-8373
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18707
TX
Other
Enumeration date
09/04/2024
Last updated
08/15/2025
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