Provider Demographics
NPI:1154063824
Name:CHRISTIE-NGUYEN, PHUOC TRUONG (MD)
Entity Type:Individual
Prefix:DR
First Name:PHUOC
Middle Name:TRUONG
Last Name:CHRISTIE-NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PHUOC
Other - Middle Name:TRUONG
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6431 FANNIN STREET, MSB 2.262
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:713-500-0712
Practice Address - Street 1:6431 FANNIN STREET, MSB 2.262
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-5302
Practice Address - Fax:713-500-0712
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program