MEDICARE: MS. THUHA THI NGUYEN FNP-C

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	AP143027	TX
2	363LF0000X	Family Nurse Practitioner	AP143027	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	:	1659922516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THUHA THI NGUYEN FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 300267
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77230-0267
Country	:	US
Telephone Number	:	281-784-9223
Fax Number	:	281-715-1802

Provider Business Practice Location Address
First Line	:	4126 SOUTHWEST FWY STE 1210
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7344
Country	:	US
Telephone Number	:	281-784-9223
Fax Number	:	281-715-1802

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

Provider Enumeration Date	:	09/23/2019
Last Update Date	:	08/03/2023

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