Healthcare Provider Details

I. General information

NPI: 1215187836
Provider Name (Legal Business Name): THU C NGUYEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27230 HIGHWAY 290 DEPT 300
CYPRESS TX
77433-2214
US

IV. Provider business mailing address

27230 HIGHWAY 290 DEPT 300
CYPRESS TX
77433-2214
US

V. Phone/Fax

Practice location:
  • Phone: 832-237-7777
  • Fax: 713-456-3516
Mailing address:
  • Phone: 832-237-7777
  • Fax: 713-456-3516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CONG THU NGUYEN
Title or Position: OWNER
Credential: MD
Phone: 832-237-7777