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Quyen Nguyen

Optometrist in Tyler, TX. Individual provider (NPI-1).

NPI number1154007136
StatusActive
Last updated in NPPESAug 21, 2023

Details

NPI
1154007136
Entity type
Individual (NPI-1)
Name
Quyen Nguyen
Sex
Female
Sole proprietor
No
Enumeration date
Jun 26, 2023
Certification date
Aug 11, 2023
Last updated
Aug 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist10801TXYes

Practice location

6710 S Broadway Ave Suite 100
Tyler, TX 75703

Phone 903-508-6001

Mailing address

616 American Way
Terrell, TX 75160-6544

Phone 469-474-2077

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