Provider Demographics
NPI:1881295616
Name:NGUYEN, BICH TRAM THI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BICH TRAM
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 W SUBLETT RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1178
Mailing Address - Country:US
Mailing Address - Phone:817-516-3763
Mailing Address - Fax:817-516-3766
Practice Address - Street 1:5101 W SUBLETT RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1178
Practice Address - Country:US
Practice Address - Phone:817-516-3763
Practice Address - Fax:817-516-3766
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist