Individual
DIANA KIM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3005 E RENNER RD, SUITE 100, RICHARDSON, TX 75082-3573
(972) 699-0000
(972) 699-0004
Mailing address
3005 E RENNER RD, SUITE 100, RICHARDSON, TX 75082
(972) 699-0000
(972) 699-0004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L0877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802791
—
TX
Enumeration date
06/09/2005
Last updated
05/28/2010
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