Individual
JULIA NGUYEN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2325 W INTERSTATE 20, GRAND PRAIRIE, TX 75052-3927
(925) 945-8300
(925) 945-8757
Mailing address
2934 PEGASUS CT, GRAND PRAIRIE, TX 75052-8042
(510) 300-5810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13104
CA
Other
Enumeration date
01/19/2007
Last updated
12/06/2016
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