Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | L9396 | TX |
Y | 207RI0011X | Interventional Cardiology | L9396 | TX |
NPI | 1124082128 |
---|---|
Provider Name | Dr. Nhan P Nguyen |
First Address | Richardson, TX 75082-3552 |
Second Address | Richardson, TX 75082-3551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
166267801 | (05) | TX |