Provider Demographics
NPI:1134131097
Name:HOA NGUYEN, APMC
Entity Type:Organization
Organization Name:HOA NGUYEN, APMC
Other - Org Name:KINDHEART FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOA
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-436-7400
Mailing Address - Street 1:9709 SUNNYCOAST LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2796
Mailing Address - Country:US
Mailing Address - Phone:713-436-1153
Mailing Address - Fax:
Practice Address - Street 1:2813 SMITH RANCH RD
Practice Address - Street 2:SUITE E
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-5254
Practice Address - Country:US
Practice Address - Phone:713-436-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2421207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF88571Medicare UPIN