MEDICARE: GIANG LE NGUYEN MD

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	207Q00000X	Family Medicine Physician	EC061114	ME
2	207Q00000X	Family Medicine Physician	N3943	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER	ME	RESIDENT-NO PROV #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710090048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIANG LE NGUYEN MD

Provider Business Mailing Address
First Line	:	1712 FIRST STREET
Second Line	:	SUITE M20
City	:	HUMBLE
State	:	TX
Zip	:	77338-5238
Country	:	US
Telephone Number	:	281-446-4139
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 FIRST STREET
Second Line	:	SUITE M20
City	:	HUMBLE
State	:	TX
Zip	:	77338-5238
Country	:	US
Telephone Number	:	281-446-4139
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	11/17/2009

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Directions to “ GIANG LE NGUYEN MD” Practice Location

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