Individual
PHU DH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
408 ELK RUN DR, FORT WORTH, TX 76140-5596
(682) 553-5257
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
82128
WI
2085R0202X
Diagnostic Radiology Physician
Primary
R8796
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423385001
—
TX
Enumeration date
04/27/2017
Last updated
06/27/2023
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