Provider Demographics
NPI:1083165260
Name:NGUYEN, NGUYET (RPH, LAC)
Entity Type:Individual
Prefix:
First Name:NGUYET
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:746 THISTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4407
Mailing Address - Country:US
Mailing Address - Phone:832-859-8867
Mailing Address - Fax:
Practice Address - Street 1:10515 BELLAIRE BLVD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5235
Practice Address - Country:US
Practice Address - Phone:713-338-9697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC 00877171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist