Provider Demographics
NPI:1134130297
Name:NGUYEN, NGA ANH (MD)
Entity Type:Individual
Prefix:DR
First Name:NGA
Middle Name:ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0189
Mailing Address - Country:US
Mailing Address - Phone:409-747-5754
Mailing Address - Fax:409-747-5736
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:REBECCA SEALY, ROOM 3.258
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0195
Practice Address - Country:US
Practice Address - Phone:409-747-5754
Practice Address - Fax:409-747-5736
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ31722084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132201805Medicaid
TX86195XOtherBLUE CROSS BLUE SHIELD
TX132201805Medicaid
TXE73849Medicare UPIN