MEDICARE: PHI P. 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	208200000X	Plastic Surgery Physician	J-2966	TX

General Provider Information

NPI Number	:	1619019510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHI P. NGUYEN M.D.

Provider Business Mailing Address
First Line	:	9798 BELLAIRE BLVD
Second Line	:	SUITE E
City	:	HOUSTON
State	:	TX
Zip	:	77036-3427
Country	:	US
Telephone Number	:	713-995-6888
Fax Number	:	713-995-8188

Provider Business Practice Location Address
First Line	:	9798 BELLAIRE BLVD
Second Line	:	SUITE E
City	:	HOUSTON
State	:	TX
Zip	:	77036-3427
Country	:	US
Telephone Number	:	713-995-6888
Fax Number	:	713-995-8188

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/08/2007

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