Individual
JORDAN DO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 S UNIVERSITY DR, FORT WORTH, TX 76129
(817) 257-7000
Mailing address
7013 DERBYSHIRE DR, FORT WORTH, TX 76137-6652
(682) 583-3232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2017
Last updated
05/22/2018
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