Active NPI
Luat Q Nguyen, M.D.
- Dermatology Physician
- Arlington, TX
National Provider Identifier
1104828854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- F6191
- Practice address
- 3132 Matlock Rd
307
Arlington, TX 76015-2910 - Phone
- (817) 468-3131
- Fax
- (817) 468-8936
- NPI assigned
- Aug 12, 2005
- Reactivated
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | F6191 | TX | Primary |
Addresses
Primary practice location
3132 Matlock Rd
307
Arlington, TX 76015-2910
Mailing address
3132 Matlock Rd
307
Arlington, TX 76015-2910
Phone (817) 468-3131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1104828854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 MATLOCK RD",
"address_2": "307",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152910",
"telephone_number": "817-468-3131",
"fax_number": "817-468-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 MATLOCK RD",
"address_2": "307",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152910",
"telephone_number": "817-468-3131",
"fax_number": "817-468-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LUAT",
"middle_name": "Q",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-11-14",
"deactivation_date": "2006-03-22",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "F6191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.