Organization
EDGE-MD HOLDING PLLC
Active
Other names
Medico MD
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN PHUCKHAC NGUYEN (OWNER)
(979) 532-2000
Entity
Organization
Contact information
Practice address
1200 W. WALNUT HILL LANE, SUITE 3950, IRVING, TX 75038
(972) 514-1672
(214) 699-4397
Mailing address
1200 W. WALNUT HILL LANE, SUITE 3950, IRVING, TX 75038
(972) 514-1672
(214) 699-4397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
01/08/2018
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