Provider Demographics
NPI:1306905245
Name:NGUYEN, KARA CUC (OD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:CUC
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:279 SOUTHWEST PLZ
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-4495
Mailing Address - Country:US
Mailing Address - Phone:817-572-9991
Mailing Address - Fax:817-478-7342
Practice Address - Street 1:279 SOUTHWEST PLZ
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-4495
Practice Address - Country:US
Practice Address - Phone:817-572-9991
Practice Address - Fax:817-478-7342
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5635T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5635TOtherSTATE LICENSE NUMBER