| Famicare Clinic, Pa | |
|
3465 W Walnut St Suite 225 Garland TX 75042-7153 | |
| (972) 272-7816 | |
| Not Available |
| Full Name | Famicare Clinic, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3465 W Walnut St, Garland, Texas |
| Authorized Official Name and Position | Huy Quoc Nguyen (MEDICAL DOCTOR) |
| Authorized Official Contact | 9728044138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Famicare Clinic, Pa 2445 Chesapeake Dr Garland TX 75043-1497 Ph: () - | Famicare Clinic, Pa 3465 W Walnut St Suite 225 Garland TX 75042-7153 Ph: (972) 272-7816 |
| NPI Number | 1164744660 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Medicare PECOS PAC ID | 3577692169 |
|---|---|
| Medicare Enrollment ID | O20100521000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164744660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N3945 (Texas) | Primary |
| Provider Name | Huy Q Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194986208 PECOS PAC ID: 5294864005 Enrollment ID: I20100603000278 |
| Provider Name | Huy Duc Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386900041 PECOS PAC ID: 1456653047 Enrollment ID: I20160114000405 |
| Provider Name | Phuong Julia H Banh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685128 PECOS PAC ID: 0547566689 Enrollment ID: I20160315002585 |
| Provider Name | Hang Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144777111 PECOS PAC ID: 2466733886 Enrollment ID: I20161227000046 |
| Provider Name | Ngan Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083272462 PECOS PAC ID: 2163753047 Enrollment ID: I20191007002817 |
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