Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 10814 | TX |
NPI | 1366680647 |
---|---|
Provider Name | Dr. Allen Nugyen |
First Address | Arlington, TX 76010 |
Second Address | Arlington, TX 76010-6411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 26/01/2009 |