MEDICARE: DR. HUY DUY NGUYEN MD

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	207WX0107X	Retina Specialist (Ophthalmology) Physician	2022027053	MO
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	U8405	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	:	1578068623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUY DUY NGUYEN MD

Provider Business Mailing Address
First Line	:	PO BOX 60352
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63160-0352
Country	:	US
Telephone Number	:	314-362-3937
Fax Number	:	314-362-3725

Provider Business Practice Location Address
First Line	:	9910 HUEBNER RD STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1375
Country	:	US
Telephone Number	:	106-157-6002
Fax Number	:	210-615-8505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2018
Last Update Date	:	08/13/2024

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