Healthcare Provider Details

I. General information

NPI: 1356753057
Provider Name (Legal Business Name): TU DAN HUYNH NGUYEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14023 SOUTHWEST FWY
SUGAR LAND TX
77478-3550
US

IV. Provider business mailing address

14023 SOUTHWEST FWY
SUGAR LAND TX
77478-3550
US

V. Phone/Fax

Practice location:
  • Phone: 281-325-4100
  • Fax: 281-325-4292
Mailing address:
  • Phone: 281-325-4100
  • Fax: 281-325-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberR0771
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: