MEDICARE: HANG TUYET NGUYEN OD BAYTOWN PC

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

General Provider Information

NPI Number	:	1740626779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANG TUYET NGUYEN OD BAYTOWN PC

Provider Business Mailing Address
First Line	:	6502 GARTH RD
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-9888
Country	:	US
Telephone Number	:	281-421-9542
Fax Number	:	281-421-9543

Provider Business Practice Location Address
First Line	:	6502 GARTH RD
Second Line	:
City	:	BAYTOWN
State	:	TX
Zip	:	77521-9888
Country	:	US
Telephone Number	:	281-421-9542
Fax Number	:	281-421-9543

Authorized Official
Title or Position	:	OWNER/OD
Name	:	HANG T. NGUYEN
Credential	:	OD
Telephone Number	:	281-421-9542

Provider Enumeration Date	:	05/16/2013
Last Update Date	:	08/19/2014

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