Healthcare Provider Details

I. General information

NPI: 1629496955
Provider Name (Legal Business Name): GEORGE NGUYEN WASHINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HIGHWAY 6 STE 10
SUGAR LAND TX
77478-4917
US

IV. Provider business mailing address

1111 HIGHWAY 6 STE 10
SUGAR LAND TX
77478-4917
US

V. Phone/Fax

Practice location:
  • Phone: 832-532-7100
  • Fax: 832-532-7410
Mailing address:
  • Phone: 832-532-7100
  • Fax: 832-532-7410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberS0403
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: