MEDICARE: TRANG T. NGUYEN OD

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	152W00000X	Optometrist	8816T	TX
2	152W00000X	Optometrist	8816TG	TX

General Provider Information

NPI Number	:	1710356787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRANG T. NGUYEN OD

Provider Business Mailing Address
First Line	:	9331 DOCHFOUR LN
Second Line	:
City	:	TOMBALL
State	:	TX
Zip	:	77375-1168
Country	:	US
Telephone Number	:	713-614-7678
Fax Number	:

Provider Business Practice Location Address
First Line	:	23541 WESTHEIMER PKWY STE 100
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-3597
Country	:	US
Telephone Number	:	713-614-7678
Fax Number	:

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

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	09/13/2020

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Directions to “ TRANG T. NGUYEN OD” Practice Location

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