Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | Q2474 | TX |
Y | 207RH0002X | Hospice and Palliative Medicine | Q2474 | TX |
NPI | 1225323694 |
---|---|
Provider Name | Ann L. Nguyen |
First Address | Dallas, TX 75246 |
Second Address | Dallas, TX 75246-2017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2011 |
Last Update Date | 13/12/2017 |