Individual
DR. MICHAEL LY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2425 HIGHWAY 121, BEDFORD, TX 76021-5013
(817) 540-4477
(817) 540-5633
Mailing address
2425 HIGHWAY 121, BEDFORD, TX 76021-5013
(817) 540-4477
(817) 540-5633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
P5855
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
P5855
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327357501
—
TX
Enumeration date
08/21/2008
Last updated
07/16/2024
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