Individual
MATTHEW NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2419 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 540-4477
(817) 510-0185
Mailing address
2419 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 540-4477
(817) 510-0185
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1249377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388651YTNB
MEDICARE PTAN
TX
Enumeration date
08/27/2014
Last updated
12/10/2015
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