Provider Demographics
NPI:1144342924
Name:LUAT T. NGUYEN, MD PA
Entity type:Organization
Organization Name:LUAT T. NGUYEN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PA
Authorized Official - Prefix:DR
Authorized Official - First Name:LUAT
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:817-375-1400
Mailing Address - Street 1:501 RITA LANE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2010
Mailing Address - Country:US
Mailing Address - Phone:817-375-1400
Mailing Address - Fax:817-701-1979
Practice Address - Street 1:501 RITA LANE
Practice Address - Street 2:SUITE 105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-2010
Practice Address - Country:US
Practice Address - Phone:817-375-1400
Practice Address - Fax:817-701-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty