Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 036-114795 | IL |
N | 207V00000X | Obstetrician & Gynecologist | N5283 | TX |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | N5283 | TX |
NPI | 1104042464 |
---|---|
Provider Name | Aimee L. Nguyen |
First Address | Frisco, TX 75034-6008 |
Second Address | Frisco, TX 75034-6008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 07/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036-114795 | IL STATE LIC (01) | IL |
N5283 | TX STATE LIC (01) | TX |