Active NPI
Truc Ngan Thanh Nguyen
- Family Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1077313
- Practice address
- 122 W John Carpenter Fwy Ste 105
Irving, TX 75039-2024 - Phone
- (872) 378-0383
- Fax
- (972) 403-3434
- NPI assigned
- Oct 5, 2021
- Last updated
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1077313 | TX | Primary |
Addresses
Primary practice location
122 W John Carpenter Fwy Ste 105
Irving, TX 75039-2024
Mailing address
1811 Syracuse CT
Arlington, TX 76002-3648
Phone (571) 598-5775
Other practice location 1
7718 Wood Hollow Dr Ste 150
Austin, TX 78731-1602
Phone (737) 304-7500
Other practice location 2
1400 W 7th St Ste 450
Fort Worth, TX 76102-2601
Phone (817) 935-8200
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1077313 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Colinas Physical Medicine PLLC | Family | Current | Accepting new patients |
| Apex Medical Group, PLLC | Past | Accepting new patients | |
| Laali Management Group | Past | Accepting new patients | |
| Sundance Physical Medicine PLLC | Family | Past | Accepting new patients |
Locations
122 W John Carpenter Fwy
Ste 105
Irving, TX 75039
Phone (972) 215-7985
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1508528746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 SYRACUSE CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760023648",
"telephone_number": "571-598-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W JOHN CARPENTER FWY STE 105",
"city": "IRVING",
"state": "TX",
"postal_code": "750392024",
"telephone_number": "872-378-0383",
"fax_number": "972-403-3434"
}
],
"practiceLocations": [
{
"address_1": "7718 Wood Hollow Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787311602",
"country_code": "US",
"telephone_number": "737-304-7500",
"fax_number": "737-403-7501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 W 7th St Ste 450",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761022601",
"country_code": "US",
"telephone_number": "817-935-8200",
"fax_number": "817-887-5052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRUC NGAN",
"middle_name": "THANH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-05",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1077313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.