Individual
DR. ANH TAT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3425 GRANDE BULEVAR, IRVING, TX 75062-5108
(972) 272-5935
Mailing address
3425 GRANDE BULEVAR, IRVING, TX 75062-5108
(972) 639-5836
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
N4616
TX
207Q00000X
Family Medicine Physician
Primary
N4616
TX
261QU0200X
Urgent Care Clinic/Center
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1 0032925
PIT
TX
Enumeration date
07/03/2008
Last updated
10/30/2023
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