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NPI Code Detail

MEDICARE: NGUYEN S THAI

MEDICARE: NGUYEN S THAI
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
1261QP2300XPrimary Care Clinic/CenterG9045TX

General Provider Information

NPI Number : 1306827720
Entity Type Code : Organization
Provider Name (Legal Business Name) : NGUYEN S THAI
Provider Business Mailing Address
First Line : 8250 BELLAIRE BLVD
Second Line : SUITE 1
City : HOUSTON
State : TX
Zip : 77036-4002
Country : US
Telephone Number : 713-777-7772
Fax Number : 713-777-8642
Provider Business Practice Location Address
First Line : 8250 BELLAIRE BLVD
Second Line : SUITE 1
City : HOUSTON
State : TX
Zip : 77036-4002
Country : US
Telephone Number : 713-777-7772
Fax Number : 713-777-8642
Authorized Official
Title or Position : OWNER
Name : DR. NGUYEN SAM THAI I
Credential : M.D.
Telephone Number : 713-777-7772
Provider Enumeration Date : 11/11/2005
Last Update Date : 08/22/2020

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Directions to “NGUYEN S THAI ” Practice Location

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