MEDICARE: THANG PHUC NGUYEN DO

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	390200000X	Student in an Organized Health Care Education/Training Program		TX
2	207RN0300X	Nephrology Physician	T5180	TX

General Provider Information

NPI Number	:	1245727890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THANG PHUC NGUYEN DO

Provider Business Mailing Address
First Line	:	2525 NORTH LOOP W STE 600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1094
Country	:	US
Telephone Number	:	713-866-6201
Fax Number	:	713-866-6202

Provider Business Practice Location Address
First Line	:	2525 NORTH LOOP W STE 600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1094
Country	:	US
Telephone Number	:	713-866-6201
Fax Number	:	713-866-6202

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

Provider Enumeration Date	:	04/19/2018
Last Update Date	:	05/14/2026

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Directions to “ THANG PHUC NGUYEN DO” Practice Location

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