Provider Demographics
NPI:1184671554
Name:NGUYEN, CHINH Q (MD)
Entity Type:Individual
Prefix:
First Name:CHINH
Middle Name:Q
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W BAKER RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2382
Mailing Address - Country:US
Mailing Address - Phone:281-428-5755
Mailing Address - Fax:832-556-8667
Practice Address - Street 1:1010 W BAKER RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2382
Practice Address - Country:US
Practice Address - Phone:281-428-5755
Practice Address - Fax:832-556-8667
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7844207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092522401Medicaid
TX00127MMedicare ID - Type Unspecified
TXH24886Medicare UPIN