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NPI Code Detail

MEDICARE: TRUC NGUYEN, OD AND ASSOCIATES, PLLC

MEDICARE: TRUC NGUYEN, OD AND ASSOCIATES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5197TGTX

General Provider Information

NPI Number : 1093206534
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUC NGUYEN, OD AND ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 4219 CROW VALLEY DR
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4281
Country : US
Telephone Number : 281-793-0721
Fax Number : 281-232-9927
Provider Business Practice Location Address
First Line : 5330 FM 1640 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-5435
Country : US
Telephone Number : 281-232-9922
Fax Number : 281-232-9927
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : DR. TRUC NGUYEN
Credential : O.D.
Telephone Number : 281-293-9716
Provider Enumeration Date : 05/21/2018
Last Update Date : 05/21/2018

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