MEDICARE: DANIEL N. NGUYEN PLLC

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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	M1974	TX

General Provider Information

NPI Number	:	1053701227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL N. NGUYEN PLLC

Provider Business Mailing Address
First Line	:	PO BOX 540088
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77254-0088
Country	:	US
Telephone Number	:	281-201-8243
Fax Number	:	281-903-7135

Provider Business Practice Location Address
First Line	:	11665 S HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-1302
Country	:	US
Telephone Number	:	281-201-8243
Fax Number	:	281-903-7135

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL N NGUYEN
Credential	:
Telephone Number	:	281-201-8243

Provider Enumeration Date	:	01/27/2015
Last Update Date	:	01/27/2015

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