Healthcare Provider Details

I. General information

NPI: 1255825527
Provider Name (Legal Business Name): KIMBERLY THUY-HOA NGUYEN DMD, MSD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 04/20/2025
Certification Date: 04/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 WESTBANK DR STE 103
AUSTIN TX
78746-6559
US

IV. Provider business mailing address

709 HOUSE WREN LOOP
PFLUGERVILLE TX
78660-3810
US

V. Phone/Fax

Practice location:
  • Phone: 512-327-6908
  • Fax:
Mailing address:
  • Phone: 512-466-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number33730
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number33730
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: