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NPI Code Detail

MEDICARE: PHUC X NGUYEN MD

MEDICARE: PHUC X 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
1207Q00000XFamily Medicine PhysicianL6129TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28G3605OTHERTXBCBS

General Provider Information

NPI Number : 1740215649
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHUC X NGUYEN MD
Provider Business Mailing Address
First Line : 9105 N WAYSIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77028-1030
Country : US
Telephone Number : 713-633-2020
Fax Number : 713-636-7193
Provider Business Practice Location Address
First Line : 9105 N WAYSIDE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77028-1030
Country : US
Telephone Number : 713-633-2020
Fax Number : 713-636-7193
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/10/2022

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Directions to “ PHUC X NGUYEN MD” Practice Location

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