Provider Demographics
NPI:1114706660
Name:NGUYEN, MY TRANG P (PHARMD)
Entity Type:Individual
Prefix:
First Name:MY TRANG
Middle Name:P
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 WINKBOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-1560
Mailing Address - Country:US
Mailing Address - Phone:408-724-7639
Mailing Address - Fax:
Practice Address - Street 1:2600 CORDES DR STE E
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7216
Practice Address - Country:US
Practice Address - Phone:832-557-3601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59590183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist