MEDICARE: ROBERT THUAN NGUYEN, OD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	6459TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043533565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT THUAN NGUYEN, OD, PA

Provider Business Mailing Address
First Line	:	7312 LOUETTA RD
Second Line	:	B116
City	:	SPRING
State	:	TX
Zip	:	77379-6176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7312 LOUETTA RD
Second Line	:	B116
City	:	SPRING
State	:	TX
Zip	:	77379-6176
Country	:	US
Telephone Number	:	832-717-0900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT NGUYEN
Credential	:	OD
Telephone Number	:	832-717-0900

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	03/11/2010

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