NGOC DIEP THI NGUYEN (NPI# 1124057633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124057633 |
| Entity Type | Individual |
| Full Name | NGOC DIEP THI NGUYEN |
| Credential | MPAS, PA-C |
| Practice Address |
3901 Treemont Cir Colleyville TX 76034 |
| Mailing Address |
1919 Hope Way Dallas TX 75206-8177 |
| Practice Telephone | 9729750079 |
| Mailing Telephone | 9729750079 |
| Mailing Fax Number | 9728639911 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL LICENSE | PA0445 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 S Main St, Fort Worth, TX 761044917 | 8177023000 |
| Street Address |
3901 TREEMONT CIR |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235191776 | Donna J Olson | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2006-04-03 |
| 1699267641 | Team Surgical Associates, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2018-06-05 |
| 1619091881 | Surgical Assisting Services, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137272 | Thomas Mark Lutrick | Physician Assistant | 4701 Manning Dr, Colleyville, TX 76034-4220 | 2006-06-04 |
| 1235191776 | Donna J Olson | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2006-04-03 |
| 1699267641 | Team Surgical Associates, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2018-06-05 |
| 1023563749 | Ncg Surgical Services | Physician Assistant | 1004 Saddlebrook Dr, Colleyville, TX 76034-3829 | 2016-08-23 |
| 1619091881 | Surgical Assisting Services, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
Please comment or provide details below to improve the information on NGOC DIEP THI NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.