Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Nam Phong Nguyen

Individual provider Podiatrist · NPI 1336710136

Paul Nam Phong Nguyen is a Podiatry in Arlington, Texas. Graduated from California School of Podiatric Medicine in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
5
Trained at
California School of Podiatric Medicine
Licensed in
MO, TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1119 W Randol Mill Rd Ste 107
Arlington, TX 76012-6509
Phone: (817) 860-2700
Fax: (817) 860-2704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 692165 (TX)
Podiatrist Taxonomy 213E00000X · Licence 2021025316 (MO)

Record details

NPI number1336710136
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2021
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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