MEDICARE: P JULIE NGUYEN MD PA

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	207RP1001X	Pulmonary Disease Physician	H8290	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DE9690	OTHER	TX	RAILROAD MED GROUP #
2	0090MT	OTHER	TX	BC/BS GROUP #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952581126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P JULIE NGUYEN MD PA

Provider Business Mailing Address
First Line	:	PO BOX 4346
Second Line	:	DEPT # 114
City	:	HOUSTON
State	:	TX
Zip	:	77210-4346
Country	:	US
Telephone Number	:	713-979-1190
Fax Number	:	713-979-1197

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE # 1228
City	:	HOUSTON
State	:	TX
Zip	:	77030-2761
Country	:	US
Telephone Number	:	713-979-1190
Fax Number	:	713-979-1197

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JULIE NGUYEN
Credential	:	MD
Telephone Number	:	713-480-1985

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	08/02/2012

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Directions to “P JULIE NGUYEN MD PA ” Practice Location

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