Individual
DIEU LINH THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
720 S MAIN ST, KELLER, TX 76248-4936
(817) 431-2800
(718) 431-0371
Mailing address
PO BOX 9101, COPPELL, TX 75019-9494
(972) 745-7500
(972) 471-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10247
TX
Other
Enumeration date
10/13/2015
Last updated
03/30/2016
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