MEDICARE: DR. STEVEN XUAN NGUYEN MD

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	207Q00000X	Family Medicine Physician	MD 204738	LA

General Provider Information

NPI Number	:	1255594180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN XUAN NGUYEN MD

Provider Business Mailing Address
First Line	:	11322 BELLAIRE BLVD STE 117
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5700
Country	:	US
Telephone Number	:	281-879-1800
Fax Number	:	281-879-1809

Provider Business Practice Location Address
First Line	:	11322 BELLAIRE BLVD STE 117
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5700
Country	:	US
Telephone Number	:	281-879-1800
Fax Number	:	281-879-1809

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

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	11/02/2018

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