MEDICARE: HIEU 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	174400000X	Specialist	20854	TX
2	122300000X	Dentist	20854	TX

General Provider Information

NPI Number	:	1689896904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIEU NGUYEN

Provider Business Mailing Address
First Line	:	12060 BELLAIRE BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-530-9947
Fax Number	:

Provider Business Practice Location Address
First Line	:	12060 BELLAIRE BLVD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-530-9947
Fax Number	:

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/26/2025

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Directions to “ HIEU NGUYEN ” Practice Location

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