Healthcare Provider Details

I. General information

NPI: 1326233131
Provider Name (Legal Business Name): ROSALYN T. NGUYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2007
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CAMBRIDGE ST., 10TH FLR
HOUSTON TX
77030
US

IV. Provider business mailing address

7200 CAMBRIDGE ST., 10TH FLR
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-7246
  • Fax: 713-798-4688
Mailing address:
  • Phone: 713-798-7246
  • Fax: 713-798-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberQ1870
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: