Organization
NORTHEAST TARRANT DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THO Q NGUYEN MD (OWNER)
(817) 281-7546
Entity
Organization
Contact information
Practice address
1733 PRECINCT LINE RD, HURST, TX 76054-3131
(817) 281-7546
(817) 788-0115
Mailing address
1733 PRECINCT LINE ROAD, HURST, TX 76054-3131
(817) 281-7546
(817) 788-0115
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/23/2007
Last updated
01/11/2013
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