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NPI Code Detail

MEDICARE: DR. ANTHONY NGUYEN OD

MEDICARE:  DR. ANTHONY  NGUYEN  OD
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
1152W00000XOptometrist9964TX

General Provider Information

NPI Number : 1851994966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY NGUYEN OD
Provider Business Mailing Address
First Line : 12707 TIMBERMEADOW DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4756
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11168 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77096-5506
Country : US
Telephone Number : 832-325-0118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 01/19/2021

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