Provider Demographics
NPI:1073127460
Name:NGUYEN, SYNDY THI
Entity Type:Individual
Prefix:
First Name:SYNDY
Middle Name:THI
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 1:3426 MEADOWSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2269
Mailing Address - Country:US
Mailing Address - Phone:714-878-1813
Mailing Address - Fax:
Practice Address - Street 1:3426 MEADOWSIDE DR
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2269
Practice Address - Country:US
Practice Address - Phone:714-878-1813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider