Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 0101246843 | VA |
N | 207RG0100X | Gastroenterologist | MD038104 | DC |
Y | 207RG0100X | Gastroenterologist | P5435 | TX |
NPI | 1033378195 |
---|---|
Provider Name | Thuc Quyen Thi Nguyen |
First Address | Arlington, TX 76014-2083 |
Second Address | Arlington, TX 76014-2083 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 26/07/2013 |