| Organization Name: | JOHN YEN NGUYEN MD PLLC |
| NPI Number: | 1700983939 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YEN NGUYEN (OWNER) |
| Mailing Address: | 1321 E Pioneer Parkway #a Arlington |
| State: | TX US |
| Postal Code: | 76010 |
| Phone Number: | 8172658777 |
| Fax Number: | 8172650802 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | J6630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |