MEDICARE: MISS UYEN 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
1	183500000X	Pharmacist	59370	TX

General Provider Information

NPI Number	:	1689234379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS UYEN NGUYEN

Provider Business Mailing Address
First Line	:	15633 VINTAGE PRESERVE PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2393
Country	:	US
Telephone Number	:	281-376-9846
Fax Number	:

Provider Business Practice Location Address
First Line	:	15633 VINTAGE PRESERVE PKWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-2393
Country	:	US
Telephone Number	:	282-376-9846
Fax Number	:

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

Provider Enumeration Date	:	06/16/2019
Last Update Date	:	06/16/2019

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Directions to “ MISS UYEN NGUYEN ” Practice Location

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