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NPI Code Detail

MEDICARE: MR. THIEN BAO NGUYEN D.O.

MEDICARE: MR. THIEN BAO NGUYEN D.O.
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 PhysicianL3413TX

General Provider Information

NPI Number : 1841228970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THIEN BAO NGUYEN D.O.
Provider Business Mailing Address
First Line : 2405 S GESSNER RD
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77063-2005
Country : US
Telephone Number : 713-266-7673
Fax Number : 713-266-4744
Provider Business Practice Location Address
First Line : 2405 S GESSNER RD
Second Line : SUITE B
City : HOUSTON
State : TX
Zip : 77063-2005
Country : US
Telephone Number : 713-266-7673
Fax Number : 713-266-4744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 06/22/2011

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