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Provider Information for 1063513299



TAM M NGUYEN DDS

Gender: FEMALE

Individual NPI: 1063513299

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1063513299
Enumeration Date 2006-09-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2201 DOUBLE CREEK DR #2001
ROUND ROCK, TX 78664-3836
United States

Phone: 512-310-0330 | Fax: 512-310-0901
View Map External Link
Primary Practice Address 2201 DOUBLE CREEK DR #2001
ROUND ROCK, TX 78664-3836
United States

Phone: 512-310-0330 | Fax: 512-310-0901
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 19825