Healthcare Provider Details

I. General information

NPI: 1487353074
Provider Name (Legal Business Name): SON THUY NGUYEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2023
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15720 WOODLAND HILLS DR STE 900
HUMBLE TX
77346-5406
US

IV. Provider business mailing address

8210 FLOYD CURL DR
SAN ANTONIO TX
78229-3923
US

V. Phone/Fax

Practice location:
  • Phone: 281-713-5156
  • Fax:
Mailing address:
  • Phone: 210-450-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number41804
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: