Individual
JOHN DAT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1732 PRECINCT LINE RD, HURST, TX 76054-3165
(817) 576-4419
(817) 576-4632
Mailing address
2025 PLAMERA LN, FORT WORTH, TX 76131-2138
(817) 576-4419
(817) 576-4632
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2147
AZ
152W00000X
Optometrist
Primary
9390T
TX
Other
Enumeration date
09/29/2016
Last updated
02/19/2025
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