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NPI Code Detail

MEDICARE: DR. HUY PHAN NGUYEN DDS

MEDICARE:  DR. HUY PHAN NGUYEN  DDS
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
11223G0001XGeneral Practice Dentistry20253TX

Other Identifiers

General Provider Information

NPI Number : 1629020060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUY PHAN NGUYEN DDS
Provider Business Mailing Address
First Line : 916 HARRIS AVE
Second Line :
City : PASADENA
State : TX
Zip : 77506-4708
Country : US
Telephone Number : 713-534-0209
Fax Number : 713-534-8800
Provider Business Practice Location Address
First Line : 916 HARRIS AVE
Second Line :
City : PASADENA
State : TX
Zip : 77506-4708
Country : US
Telephone Number : 713-534-0209
Fax Number : 713-534-8800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 11/28/2012

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Directions to “ DR. HUY PHAN NGUYEN DDS” Practice Location

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