MEDICARE: ANH-TU H. 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	207L00000X	Anesthesiology Physician	M0510	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215938477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH-TU H. NGUYEN M.D.

Provider Business Mailing Address
First Line	:	3411 YOAKUM BLVD APT 3201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-4337
Country	:	US
Telephone Number	:	832-236-6893
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 ALLEN PKWY 3308
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-1823
Country	:	US
Telephone Number	:	832-236-6893
Fax Number	:

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/19/2024

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