MEDICARE: VAN-NGUYEN PRISCILLA TU

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1740961481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAN-NGUYEN PRISCILLA TU

Provider Business Mailing Address
First Line	:	8231 SANDY GLEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3637
Country	:	US
Telephone Number	:	713-835-0963
Fax Number	:

Provider Business Practice Location Address
First Line	:	8231 SANDY GLEN LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-3637
Country	:	US
Telephone Number	:	713-835-0963
Fax Number	:

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

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	07/26/2023

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Directions to “ VAN-NGUYEN PRISCILLA TU ” Practice Location

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