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NPI Code Detail

MEDICARE: DR. AMY THIEN NGUYEN OD

MEDICARE:  DR. AMY THIEN NGUYEN  OD
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
1152W00000XOptometrist9849TTX

General Provider Information

NPI Number : 1366097891
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY THIEN NGUYEN OD
Provider Business Mailing Address
First Line : 1560 ELDRIDGE PKWY STE 136
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1762
Country : US
Telephone Number : 281-531-7020
Fax Number : 281-531-7010
Provider Business Practice Location Address
First Line : 1560 ELDRIDGE PKWY STE 136
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1762
Country : US
Telephone Number : 281-531-7020
Fax Number : 281-531-7010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 08/01/2019

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Directions to “ DR. AMY THIEN NGUYEN OD” Practice Location

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