Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 12120 | TX |
NPI | 1124379912 |
---|---|
Provider Name | Ms. Nhuyen Dang Nguyen |
First Address | Dallas, TX 75228-4449 |
Second Address | Dallas, TX 75226-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2012 |
Last Update Date | 20/09/2012 |