MEDICARE: MRS. KHANH VU PHUONG NGUYEN NP

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	363LF0000X	Family Nurse Practitioner	1012885	TX

General Provider Information

NPI Number	:	1487253761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KHANH VU PHUONG NGUYEN NP

Provider Business Mailing Address
First Line	:	7447 HARWIN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2016
Country	:	US
Telephone Number	:	713-274-2599
Fax Number	:

Provider Business Practice Location Address
First Line	:	7447 HARWIN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2016
Country	:	US
Telephone Number	:	713-274-2599
Fax Number	:

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	02/03/2026

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