Healthcare Provider Details

I. General information

NPI: 1053701227
Provider Name (Legal Business Name): DANIEL N. NGUYEN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 01/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11665 S HIGHWAY 6
SUGAR LAND TX
77498-1302
US

IV. Provider business mailing address

PO BOX 540088
HOUSTON TX
77254-0088
US

V. Phone/Fax

Practice location:
  • Phone: 281-201-8243
  • Fax: 281-903-7135
Mailing address:
  • Phone: 281-201-8243
  • Fax: 281-903-7135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License NumberM1974
License Number StateTX

VIII. Authorized Official

Name: DR. DANIEL N NGUYEN
Title or Position: OWNER
Credential:
Phone: 281-201-8243