MEDICARE: ANDREA NGUYEN M.D.

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	208000000X	Pediatrics Physician	R4112	TX

General Provider Information

NPI Number	:	1942614128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA NGUYEN M.D.

Provider Business Mailing Address
First Line	:	3637 BELLEFONTAINE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17520 W GRAND PKWY S STE 430
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3170
Country	:	US
Telephone Number	:	281-305-5970
Fax Number	:	281-305-5971

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

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	05/21/2025

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