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NPI Code Detail

MEDICARE: DR. JASON NGUYEN PHARMD

MEDICARE: DR. JASON NGUYEN PHARMD
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
1183500000XPharmacist66768TX

General Provider Information

NPI Number : 1174141287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON NGUYEN PHARMD
Provider Business Mailing Address
First Line : 3663 WASHINGTON AVE STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77007-6469
Country : US
Telephone Number : 713-426-1961
Fax Number :
Provider Business Practice Location Address
First Line : 3663 WASHINGTON AVE STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77007-6469
Country : US
Telephone Number : 713-426-1961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2020
Last Update Date : 07/07/2020

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Directions to “ DR. JASON NGUYEN PHARMD” Practice Location

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