Active NPI
Thao Qui Nguyen, D.O.
- General Practice Physician
- Arlington, TX
National Provider Identifier
1255513768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- J9242
- Practice address
- 912 E Park Row Dr
Arlington, TX 76010-4507 - Phone
- (817) 277-2977
- Fax
- (817) 277-4750
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | J9242 | TX | |
| General Practice Physician | 208D00000X | J9242 | TX | Primary |
Addresses
Primary practice location
912 E Park Row Dr
Arlington, TX 76010-4507
Mailing address
PO Box 301085
Arlington, TX 76007-1085
Phone (817) 277-2977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044573601 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J9242 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Minor Emergency Clinic PA | General Practice | Current | Accepting new patients |
Locations
912 E Park Row Dr
Arlington, TX 76010
Phone (817) 277-2977
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Arlington, TX
- NPI 1275669541
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1255513768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301085",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760071085",
"telephone_number": "817-277-2977",
"fax_number": "817-277-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 E PARK ROW DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760104507",
"telephone_number": "817-277-2977",
"fax_number": "817-277-4750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"middle_name": "QUI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J9242",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "J9242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044573601",
"state": "TX"
}
],
"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 Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.