MEDICARE: TUAN HOANG NGUYEN M.D.

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	208000000X	Pediatrics Physician	K0961	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1457330029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUAN HOANG NGUYEN M.D.

Provider Business Mailing Address
First Line	:	12060 BELLAIRE BLVD
Second Line	:	SUITE D
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-933-7900
Fax Number	:	281-933-7999

Provider Business Practice Location Address
First Line	:	12060 BELLAIRE BLVD
Second Line	:	SUITE D
City	:	HOUSTON
State	:	TX
Zip	:	77072-2569
Country	:	US
Telephone Number	:	281-933-7900
Fax Number	:	281-933-7999

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	09/02/2011

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