Provider Demographics
NPI:1124372925
Name:CAUSEY, THUEY NGUYEN (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:THUEY
Middle Name:NGUYEN
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:THUY
Other - Middle Name:PHUONG TRAN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 5TH AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7311
Mailing Address - Country:US
Mailing Address - Phone:181-725-0723
Mailing Address - Fax:
Practice Address - Street 1:800 5TH AVE STE 410
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7311
Practice Address - Country:US
Practice Address - Phone:181-725-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX708147363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX269331YKP5Medicare PIN
TX269331YKPWMedicare PIN
TX269331YKQLMedicare PIN