Individual
TAM M NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-5241
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 945-4587
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P2149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298443701
—
TX
01
—
P01112228
MEDICARE RAILROAD
TX
Enumeration date
04/16/2009
Last updated
11/30/2017
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