Provider Demographics
NPI:1003505058
Name:NGUYEN, MONG-HIEN MORGAN
Entity Type:Individual
Prefix:
First Name:MONG-HIEN MORGAN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7420 BRECKENRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-6579
Mailing Address - Country:US
Mailing Address - Phone:409-549-6155
Mailing Address - Fax:
Practice Address - Street 1:916 S FIFTH ST APT 4
Practice Address - Street 2:
Practice Address - City:KIRKSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63501-1778
Practice Address - Country:US
Practice Address - Phone:409-549-6155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program