Individual
DR. KIMBERLY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3575 W WALNUT ST, C, GARLAND, TX 75042-6208
(972) 272-9455
Mailing address
3575 W WALNUT ST, C, GARLAND, TX 75042-6208
(972) 272-9455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5741TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041927701
—
TX
01
—
11585
SPECTERA GROUP ID
TX
01
—
918178
BLOCK MANAGED MEDICAID
TX
01
—
TX5741
EYEMED
TX
Enumeration date
01/25/2007
Last updated
06/05/2013
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