Provider Demographics
NPI:1134314016
Name:NGUYEN, TRAN NGOC (L AC)
Entity Type:Individual
Prefix:DR
First Name:TRAN
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:DR
Other - First Name:TRAN
Other - Middle Name:N
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD (VIETNAM); L AC
Mailing Address - Street 1:9009 RICHMOND AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4943
Mailing Address - Country:US
Mailing Address - Phone:713-972-0125
Mailing Address - Fax:
Practice Address - Street 1:9009 RICHMOND AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4943
Practice Address - Country:US
Practice Address - Phone:713-972-0125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00995171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist