Provider Demographics
NPI:1770908121
Name:NGUYEN RUXTON, PHUONG KIM THI (RN, FNP)
Entity type:Individual
Prefix:
First Name:PHUONG
Middle Name:KIM THI
Last Name:NGUYEN RUXTON
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9134
Mailing Address - Country:US
Mailing Address - Phone:214-645-1814
Mailing Address - Fax:214-645-3376
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-1759
Practice Address - Country:US
Practice Address - Phone:214-645-1814
Practice Address - Fax:214-645-3376
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily