Individual ProviderTommy NguyenAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000PECOS EnrollmentBased on the most recent information from CMS, provider Tommy Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1154522308Provider TypeIndividualFull NameNguyen, TommyCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/29/2007Last Updated8/14/2025Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing Address234 Goodman St, Mail Location 0796, Cincinnati, OH 45219-2364PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseV6509TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense57012275Ohio