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NPI Code Detail

MEDICARE: TRI HOAIDUC NGUYEN M.D.

MEDICARE: TRI HOAIDUC NGUYEN M.D.
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
1207N00000XDermatology PhysicianL7500TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28G7801OTHERTXBCBSTX

General Provider Information

NPI Number : 1194942631
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRI HOAIDUC NGUYEN M.D.
Provider Business Mailing Address
First Line : 1140 CYPRESS STATION DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3057
Country : US
Telephone Number : 832-643-8592
Fax Number : 281-809-3845
Provider Business Practice Location Address
First Line : 1140 CYPRESS STATION DR STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77090-3057
Country : US
Telephone Number : 832-643-8592
Fax Number : 281-809-3845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 09/18/2012

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Directions to “ TRI HOAIDUC NGUYEN M.D.” Practice Location

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