Organization
JOHN YEN NGUYEN MD PLLC
Active
Other names
Pioneer Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
YEN NGUYEN MD (OWNER)
(817) 265-8777
Entity
Organization
Contact information
Practice address
1321 E PIONEER PARKWAY, #A, ARLINGTON, TX 76010
(817) 265-8777
(817) 265-0802
Mailing address
1321 E PIONEER PARKWAY, #A, ARLINGTON, TX 76010
(817) 265-8777
(817) 265-0802
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J6630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074DP
BCBS
TX
01
—
8A0583
BCBS
TX
Enumeration date
09/20/2006
Last updated
11/06/2007
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