Individual
CORY K NGUYEN
Active
Individual
CORY K NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
7030TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTAN TXB126697
MEDICARE
—
Enumeration date
05/31/2007
Last updated
03/01/2025
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