Organization
DALLAS PARKWAY MEDICAL CLINIC PA
Active
Organization
DALLAS PARKWAY MEDICAL CLINIC PA
Active
Other names
Dallas Parkway Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH C NGUYEN M.D. (CEO)
(972) 385-6455
Entity
Organization
Contact information
Practice address
14444 DALLAS PKWY STE 101, DALLAS, TX 75254-8851
(714) 837-4549
Mailing address
14444 DALLAS PKWY STE 101, DALLAS, TX 75254-8851
(972) 385-6455
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
M3666
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A807510
—
CA
Enumeration date
07/06/2006
Last updated
07/24/2007
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