Individual
DUSTIN DUY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4381 NW WATER LILY PL, CAMAS, WA 98607-8843
(817) 881-2765
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0937
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q4820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10034738
TEXAS MEDICAL BOARD POSTGRADUATE TRAINING PERMIT
—
Enumeration date
05/02/2009
Last updated
01/27/2023
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