Individual provider Active NPI

Tin Nguyen, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1073943098
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08606 Issued in TX
Practice address
1300 W Terrell Ave Ste 300
Fort Worth, TX 76104-2822
Phone
(817) 820-4280
Fax
(817) 820-4281
NPI assigned
Nov 13, 2013
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08606 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave Ste 300
Fort Worth, TX 76104-2822

Mailing address

1300 W Terrell Ave Ste 300
Fort Worth, TX 76104-2822
Phone (817) 820-4280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212001435 TX Practitioner - Physician Assistant 4183851421 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Urgent Surgery Associates PAGroup PAC ID 0042122137, 58 clinicians
North Texas Critical Care PAGroup PAC ID 6103041637, 79 clinicians
Frisco Emergency Medicine Associates PAGroup PAC ID 8921594300, 36 clinicians

Practice addresses (Care Compare)

1310 W Exchange Pkwy
Suite 100
Allen, TX 75013-7025
Phone (972) 678-4545

16151 Eldorado Pkwy
Frisco, TX 75035-5817
Phone (972) 731-5151

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-1599

330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone (469) 312-7777

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 821-1599

8950 N Tarrant Pkwy
North Richland Hills, TX 76182-8465
Phone (817) 281-7277

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

9205 Legacy Dr
Frisco, TX 75034-6750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 8, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 13, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 8, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Dec 13, 2022 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2026 Accepting new patients
Frisco Emergency Medicine Associates, PA CurrentSince Dec 21, 2025 Accepting new patients
Medspring of Texas, PA Past Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3500 Gaston Ave
Dallas, TX 75246

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1073943098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042822",
            "telephone_number": "817-820-4280",
            "fax_number": "817-820-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042822",
            "telephone_number": "817-820-4280",
            "fax_number": "817-820-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.