Provider Demographics
NPI:1093828667
Name:NGUYEN, CUONG XUAN (DO)
Entity Type:Individual
Prefix:DR
First Name:CUONG
Middle Name:XUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 BOONE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2037
Mailing Address - Country:US
Mailing Address - Phone:281-933-1700
Mailing Address - Fax:281-933-1705
Practice Address - Street 1:9225 BOONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2037
Practice Address - Country:US
Practice Address - Phone:281-933-1700
Practice Address - Fax:281-933-1705
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9885207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139210216Medicaid
TX139210216Medicaid
A67445Medicare UPIN