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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