MEDICARE: DR. HUY NGUYEN M.D.

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
1	1744R1102X	Research Study Specialist
2	183500000X	Pharmacist	63500	TX

General Provider Information

NPI Number	:	1154630416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUY NGUYEN M.D.

Provider Business Mailing Address
First Line	:	601 INDIAN TRL
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3110 SABLE CRK
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2636
Country	:	US
Telephone Number	:	210-386-8398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	05/16/2019

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