MEDICARE: MISS TRISHANN TUYET NGUYEN PA-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	363A00000X	Physician Assistant	PA19187	TX

General Provider Information

NPI Number	:	1689468878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TRISHANN TUYET NGUYEN PA-C

Provider Business Mailing Address
First Line	:	8145 HIGHWAY 6 STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6726
Country	:	US
Telephone Number	:	346-771-3990
Fax Number	:	346-770-4009

Provider Business Practice Location Address
First Line	:	8145 HIGHWAY 6 STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-6726
Country	:	US
Telephone Number	:	346-771-3990
Fax Number	:	346-770-4009

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

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	11/17/2025

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Directions to “ MISS TRISHANN TUYET NGUYEN PA-C” Practice Location

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