MEDICARE: DR. THUY KIM NGUYEN , D.A.O.M., LAC

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	171100000X	Acupuncturist	0121000870	VA
2	171100000X	Acupuncturist	AC01167	TX
3	171100000X	Acupuncturist	AC00007	MS
4	171100000X	Acupuncturist	66.000053	OH

General Provider Information

NPI Number	:	1972005544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUY KIM NGUYEN , D.A.O.M., LAC

Provider Business Mailing Address
First Line	:	8010 RIVERINE TERRACE DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-4738
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1856 FM 359 RD
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1296
Country	:	US
Telephone Number	:	281-762-0472
Fax Number	:	713-481-8875

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

Provider Enumeration Date	:	02/28/2018
Last Update Date	:	10/26/2018

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Directions to “ DR. THUY KIM NGUYEN , D.A.O.M., LAC” Practice Location

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