MEDICARE: STEVEN X NGUYEN INC

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

General Provider Information

NPI Number	:	1255945010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN X NGUYEN INC

Provider Business Mailing Address
First Line	:	6112 BELLAIRE BLVD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4913
Country	:	US
Telephone Number	:	281-518-3590
Fax Number	:

Provider Business Practice Location Address
First Line	:	6112 BELLAIRE BLVD STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4913
Country	:	US
Telephone Number	:	281-518-3590
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN X NGUYEN
Credential	:	MD
Telephone Number	:	713-518-9530

Provider Enumeration Date	:	08/31/2020
Last Update Date	:	08/31/2020

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