Individual
DR. PETER V NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 W RANDOL MILL RD, ARLINGTON, TX 76011-5857
(817) 877-5858
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 877-5858
(817) 335-4418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3769
TX
207RN0300X
Nephrology Physician
Primary
L3769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790709285
—
TX
01
—
8U1251
BLUE CROSS
TX
Enumeration date
07/27/2006
Last updated
09/02/2022
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