| Transcend Medical Group | |
|
1119 W Randol Mill Rd Ste 103 Arlington TX 76012-6509 | |
| (817) 860-2700 | |
| (817) 860-2704 |
| Full Name | Transcend Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1119 W Randol Mill Rd Ste 103, Arlington, Texas |
| Authorized Official Name and Position | Justine T Phan (CFO) |
| Authorized Official Contact | 8178607000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transcend Medical Group 1119 W Randol Mill Rd Ste 103 Arlington TX 76012-6509 Ph: (817) 860-2700 | Transcend Medical Group 1119 W Randol Mill Rd Ste 103 Arlington TX 76012-6509 Ph: (817) 860-2700 |
| NPI Number | 1336328426 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 08/31/2023 |
| Medicare PECOS PAC ID | 7416983622 |
|---|---|
| Medicare Enrollment ID | O20050711000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336328426 | NPI | - | NPPES |
| 0067MT | Other | TX | BCBS |
| 183238801 | Medicaid | TX | |
| DE5064 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M0513 (Texas) | Primary |
| Provider Name | Todd T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548249030 PECOS PAC ID: 7315973526 Enrollment ID: I20050711000429 |
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