Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 60092625 | WA |
Y | 152W00000X | Optometrist | 7385T | TX |
NPI | 1003046038 |
---|---|
Provider Name | Cathy Tran Nguyen |
First Address | Plano, TX 75093-4300 |
Second Address | Plano, TX 75093-4300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2009 |
Last Update Date | 11/02/2021 |