Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mai Kim Thi Nguyen, PA

Individual provider Physician Assistant · NPI 1255791323

Mai Kim Thi Nguyen, PA is a Physician Assistant in Dallas, Texas. Qualified in 2015, 11 years ago. Practices with Pure Dermatology Center, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13737 Noel Rd Ste 1200
Dallas, TX 75240
Phone: (972) 225-6586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)

Record details

NPI number1255791323
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pure Dermatology Center — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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