MEDICARE: VAN NGUYEN L.AC.

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	171100000X	Acupuncturist	1809	MN

General Provider Information

NPI Number	:	1386188654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAN NGUYEN L.AC.

Provider Business Mailing Address
First Line	:	4606 FM 1960 RD W STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4612
Country	:	US
Telephone Number	:	952-564-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	4606 FM 1960 RD W STE 540
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-4612
Country	:	US
Telephone Number	:	952-564-7777
Fax Number	:

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

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	07/30/2023

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Directions to “ VAN NGUYEN L.AC.” Practice Location

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