Truc Ngan Thanh Nguyen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1077313 Issued in TX

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Las Colinas Physical Medicine PLLC

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1578285755

  Family, TX

  Medicare reassignment NPD
• Apex Medical Group, PLLC

  • General Practice Physician
  • Prosper, TX
  • NPI 1366908360
  NPD (past)
• Laali Management Group

  • Chiropractor
  • Plano, TX
  • NPI 1750610283
  NPD (past)
• Sundance Physical Medicine PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1831811918

  Family

  NPD (past)

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": []
}

• Ryan Nguyen, PHARM.D
• Tammy Duy Nguyen
• Thien Nguyen, O.D.
• Thinh Xuan Nguyen, DMD
• Thuy-Van Tang Nguyen, DDS
• Tuan Minh Nguyen, ENP
• Victoria Alexandra Nguyen, D.O.
• Nicholas F. Leber, DDS, PC
• Michael Ernest Nicholas Jr., PA
• Alora Milan Nichols, RBT

• All providers in Irving, TX
• Family Nurse Practitioner in Texas

• 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.

Verify at the official NPI Registry.