Individual
DAT T NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2275 GUS THOMASSON RD, DALLAS, TX 75228-3002
(214) 660-9729
Mailing address
1809 EASTFIELD DR, RICHARDSON, TX 75081-5433
(214) 597-1396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35357361
DRIVER LICENSE
TX
Enumeration date
03/10/2021
Last updated
03/10/2021
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