MEDICARE: DR. QUAN VINH NGUYEN D.C.

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	111N00000X	Chiropractor	9282	TX

General Provider Information

NPI Number	:	1194814160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUAN VINH NGUYEN D.C.

Provider Business Mailing Address
First Line	:	3535 WESTHEIMER RD
Second Line	:	SUITE 218
City	:	HOUSTON
State	:	TX
Zip	:	77027-5353
Country	:	US
Telephone Number	:	713-627-7246
Fax Number	:	713-627-7246

Provider Business Practice Location Address
First Line	:	3535 WESTHEIMER RD
Second Line	:	SUITE 218
City	:	HOUSTON
State	:	TX
Zip	:	77027-5353
Country	:	US
Telephone Number	:	713-627-7246
Fax Number	:	713-627-7246

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/08/2007

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