Basic Information
| Provider Information | |||||||||
| NPI: | 1003805912 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NGUYEN | ||||||||
| FirstName: | THIEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6600 DENTON HWY | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | WATAUGA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761482541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172811700 | ||||||||
| FaxNumber: | 8172811773 | ||||||||
| Practice Location | |||||||||
| Address1: | 6600 DENTON HWY | ||||||||
| Address2: | SUITE 130 | ||||||||
| City: | WATAUGA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761482541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8172811700 | ||||||||
| FaxNumber: | 8172811773 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2005 | ||||||||
| LastUpdateDate: | 06/23/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 9324 | TX | Y | Chiropractic Providers | Chiropractor |
No ID Information.