Provider Demographics
NPI:1003805912
Name:NGUYEN, THIEN (DC)
Entity Type:Individual
Prefix:DR
First Name:THIEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 DENTON HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2541
Mailing Address - Country:US
Mailing Address - Phone:817-281-1700
Mailing Address - Fax:817-281-1773
Practice Address - Street 1:6600 DENTON HWY
Practice Address - Street 2:SUITE 130
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2541
Practice Address - Country:US
Practice Address - Phone:817-281-1700
Practice Address - Fax:817-281-1773
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor