Healthcare Provider Details

I. General information

NPI: 1497896625
Provider Name (Legal Business Name): THUY P NGUYEN D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4519 HWY 6 N
HOUSTON TX
77084
US

IV. Provider business mailing address

4519 HWY 6 N
HOUSTON TX
77084
US

V. Phone/Fax

Practice location:
  • Phone: 281-345-8900
  • Fax: 281-345-0533
Mailing address:
  • Phone: 281-345-8900
  • Fax: 281-345-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number21207
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: