Provider Demographics
NPI:1144746181
Name:NGUYEN, MARY T (OD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:6634 CALICO WOODS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-7281
Mailing Address - Country:US
Mailing Address - Phone:281-405-8114
Mailing Address - Fax:281-405-8104
Practice Address - Street 1:13003 TOMBALL PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3122
Practice Address - Country:US
Practice Address - Phone:281-405-8114
Practice Address - Fax:281-405-8104
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2024-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX9324TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist