Provider Demographics
NPI:1508281262
Name:NGUYEN, UYEN (PA-C)
Entity Type:Individual
Prefix:
First Name:UYEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 OLD U.S. 80
Mailing Address - Street 2:SUITE 124
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:972-564-0044
Mailing Address - Fax:
Practice Address - Street 1:426 FM 548
Practice Address - Street 2:SUITE 124
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6287
Practice Address - Country:US
Practice Address - Phone:972-564-0044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant