Individual
DR. CAROLINE T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4900 S HULEN ST, FORT WORTH, TX 76132-1408
(817) 423-8300
Mailing address
8309 WESSON RD, ARLINGTON, TX 76002-4262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6288T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038FD
BCBS-TX
TX
05
—
161128702
—
TX
01
—
7672426
AETNA
TX
01
—
P00238562
RAILROAD MEDICARE
—
Enumeration date
02/14/2006
Last updated
12/07/2012
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