Healthcare Provider Details

I. General information

NPI: 1194689935
Provider Name (Legal Business Name): CINDY NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4502 MEDICAL DR
SAN ANTONIO TX
78229-4492
US

IV. Provider business mailing address

6919 MUIRFIELD DR
ARLINGTON TX
76001-3825
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-4000
  • Fax:
Mailing address:
  • Phone: 214-478-1067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1000987
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: