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Jennifer Phuong-Loan Nguyen

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER NGUYEN.

Based on the most recent information from CMS, provider Jennifer Phuong-Loan Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164001673
Provider Type
Individual
Full Name
Nguyen, Jennifer Phuong-Loan
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/3/2021
Last Updated
7/1/2024

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Mailing Location

11511 Shadow Creek Pkwy, Pearland, TX 77584-7298

(713) 442-0000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License U1099 Texas

Jennifer Phuong-Loan Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Robinson, Amber Thomas

Burkholz, Jennifer

Matonda, Winfred Kemunto

Mathur, Monika

Savage, Autumn

Vincent Lewis Medical, Pa

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Nivens, Jamie Arthur

Health Texas Provider Network-Family Practice Of North Texas Llp

Greer, Daria Katherine