Healthcare Provider Details

I. General information

NPI: 1942805817
Provider Name (Legal Business Name): NHO VAN NGUYEN RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 12/01/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6915 WEST AVE
CASTLE HILLS TX
78213-1822
US

IV. Provider business mailing address

6915 WEST AVE
CASTLE HILLS TX
78213-1822
US

V. Phone/Fax

Practice location:
  • Phone: 210-341-1487
  • Fax: 210-341-0442
Mailing address:
  • Phone: 210-341-1487
  • Fax: 210-341-0442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number32198
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: