MEDICARE: PHUONG-DUNG JULIE NGUYEN MD

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00328597	OTHER	TX	RAILROAD MEDICARE INDIV #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962486878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHUONG-DUNG JULIE NGUYEN MD

Provider Business Mailing Address
First Line	:	P. O. BOX 4346 DEPT # 114
Second Line	:
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 STREET
Second Line	:	SUITE #1228
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-979-1190
Fax Number	:	713-979-1197

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	03/03/2022

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Directions to “ PHUONG-DUNG JULIE NGUYEN MD” Practice Location

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