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NPI Code Detail

MEDICARE: PHUONG NGUYEN, INC

MEDICARE: PHUONG 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
1152W00000XOptometristTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336392828
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHUONG NGUYEN, INC
Provider Business Mailing Address
First Line : 17428 W GRAND PKWY S
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2564
Country : US
Telephone Number : 281-342-1000
Fax Number : 281-342-1002
Provider Business Practice Location Address
First Line : 17428 W GRAND PKWY S
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-2564
Country : US
Telephone Number : 281-342-1000
Fax Number : 281-342-1002
Authorized Official
Title or Position : PRESIDENT
Name : DR. PHUONG NGUYEN
Credential : OD
Telephone Number : 281-342-1000
Provider Enumeration Date : 10/28/2008
Last Update Date : 01/16/2014

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Directions to “PHUONG NGUYEN, INC ” Practice Location

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