Individual ProviderMichael NguyenRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986(972) 702-0300(985) 445-8488PECOS EnrollmentBased on the most recent information from CMS, provider Michael Nguyen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1659866333Provider TypeIndividualFull NameNguyen, MichaelGenderMaleSole ProprietorNoEnumeration Date6/26/2018Last Updated6/14/2019Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210w, Dallas, TX 75240-4986Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address8230 Meadow Rd Apt 1210, Dallas, TX 75231-3706Phone(985) 445-8488FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense010621465Louisiana