| Thanh Van Nguyen Md Pa | |
|
309 E Washington Ave Tucumcari NM 88401-3873 | |
| (575) 461-2616 | |
| (575) 461-1342 |
| Full Name | Thanh Van Nguyen Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 309 E Washington Ave, Tucumcari, New Mexico |
| Authorized Official Name and Position | Thanh Van Nguyen (OWNER) |
| Authorized Official Contact | 5754612616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Van Nguyen Md Pa Po Box 966 Tucumcari NM 88401-0966 Ph: (575) 461-2616 | Thanh Van Nguyen Md Pa 309 E Washington Ave Tucumcari NM 88401-3873 Ph: (575) 461-2616 |
| NPI Number | 1346495082 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346495082 | NPI | - | NPPES |
| 19737 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 78-65 (New Mexico) | Primary |
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