MEDICARE: DR. THUAN TRONG 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	174400000X	Specialist	J2237	TX

General Provider Information

NPI Number	:	1659421535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUAN TRONG NGUYEN MD

Provider Business Mailing Address
First Line	:	12060 BELLAIRE BLVD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-983-0205
Fax Number	:	281-983-0385

Provider Business Practice Location Address
First Line	:	12060 BELLAIRE BLVD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-983-0205
Fax Number	:	281-983-0385

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

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/08/2007

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