MEDICARE: HA THI-BICH NGUYEN D.O.

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	207R00000X	Internal Medicine Physician	20A 9444	CA
2	207R00000X	Internal Medicine Physician	K3929	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174531560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HA THI-BICH NGUYEN D.O.

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR
Second Line	:	SUITE 1.100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-5519
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 WASHINGTON AVE
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77007-5476
Country	:	US
Telephone Number	:	713-861-6490
Fax Number	:

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	03/24/2021

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Directions to “ HA THI-BICH NGUYEN D.O.” Practice Location

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