Individual
DR. DAN DINH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12879 JOSEY LN, SUITE 100, FARMERS BRANCH, TX 75234-6396
(972) 247-3600
(972) 247-3602
Mailing address
12879 JOSEY LN, SUITE 100, FARMERS BRANCH, TX 75234-6396
(972) 247-3600
(972) 247-3602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L6126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846388
—
TX
01
—
TXB115833
MEDICARE GROUP PTAN
—
01
—
TXB115834
MEDICARE INDIVIDUAL PTAN
—
Enumeration date
11/01/2006
Last updated
11/15/2012
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