MEDICARE: DANIEL NGUYEN

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	207N00000X	Dermatology Physician	S9946	TX

General Provider Information

NPI Number	:	1477014967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL NGUYEN

Provider Business Mailing Address
First Line	:	819 PEAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2905
Country	:	US
Telephone Number	:	281-645-5013
Fax Number	:	713-903-7958

Provider Business Practice Location Address
First Line	:	819 PEAKWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-2905
Country	:	US
Telephone Number	:	281-645-5013
Fax Number	:	713-903-7958

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

Provider Enumeration Date	:	03/27/2019
Last Update Date	:	08/07/2024

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Directions to “ DANIEL NGUYEN ” Practice Location

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