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Adrian Ha Nguyen

Internal Medicine

Allopathic & Osteopathic Physicians

4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340

PECOS Enrollment

This provider is enrolled in PECOS as ADRIAN NGUYEN.

Based on the most recent information from CMS, provider Adrian Ha Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1578698080
Provider Type
Individual
Full Name
Nguyen, Adrian Ha
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/23/2007
Last Updated
12/19/2022

Contact Information

Practice Location

4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340

(469) 800-6050

(469) 800-6057

Mailing Location

4708 Alliance Blvd, Suite 550, Plano, TX 75093-5340

(469) 800-6050

(469) 800-6057

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License K7842 Texas

Provider Identifiers

ID	Description	Issuer
ID 8DB574	Description Other	Issuer BCBSTX Texas
ID 145477902	Description Medicaid	Issuer Unlisted Texas

Adrian Ha Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Charles F. Natalizio Md

Yaqub, Sobia

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Pham, Thuha Ngoc

Tobolowsky, Paul Arthur