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NPI Code Detail

MEDICARE: BERNY THIEN NGUYEN

MEDICARE:   BERNY THIEN NGUYEN
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
1225100000XPhysical Therapist1343460TX

General Provider Information

NPI Number : 1194305029
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNY THIEN NGUYEN
Provider Business Mailing Address
First Line : 4722 MENLO PARK DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-3830
Country : US
Telephone Number : 832-770-1559
Fax Number :
Provider Business Practice Location Address
First Line : 11515 CHIMNEY ROCK RD # 2
Second Line :
City : HOUSTON
State : TX
Zip : 77035-2905
Country : US
Telephone Number : 281-242-5252
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2021
Last Update Date : 04/13/2021

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Directions to “ BERNY THIEN NGUYEN ” Practice Location

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