Individual
MAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3000
Mailing address
550 PEACHTREE ST NE, MEDICAL OFFICE TOWER/STE 1135, ATLANTA, GA 30308-2212
(404) 686-1424
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
T1489
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2016
Last updated
10/11/2021
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