NPI Code Details Logo

NPI 1578068623

NPI 1578068623 : HUY DUY NGUYEN MD : SAN ANTONIO, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578068623
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HUY DUY NGUYEN MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/29/2018
-----------------------------------------------------
    Last Update Date     |    08/13/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9910 HUEBNER RD STE 100 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78240-1375
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    106-157-6002
-----------------------------------------------------
    Fax                  |    210-615-8505
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 60352 
-----------------------------------------------------
    City                 |    SAINT LOUIS
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63160-0352
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    314-362-3937
-----------------------------------------------------
    Fax                  |    314-362-3725
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207WX0107X
-----------------------------------------------------
    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
-----------------------------------------------------
    License Number       |    2022027053
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207WX0107X
-----------------------------------------------------
    Taxonomy Name        |    Retina Specialist (Ophthalmology) Physician
-----------------------------------------------------
    License Number       |    U8405
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.