Provider Demographics
NPI:1225139736
Name:NGUYEN, HINH DUY (MD)
Entity Type:Individual
Prefix:DR
First Name:HINH
Middle Name:DUY
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HINH
Other - Middle Name:KEITH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1100 MCCULLOUGH AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4813
Mailing Address - Country:US
Mailing Address - Phone:210-271-3204
Mailing Address - Fax:210-222-2761
Practice Address - Street 1:1100 MCCULLOUGH AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4813
Practice Address - Country:US
Practice Address - Phone:210-271-3204
Practice Address - Fax:210-222-2761
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9395207RC0000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198810703Medicaid
TX8CU319OtherBCBS
TXP00948232OtherRAILROAD
TX198810703Medicaid
TXB126152Medicare PIN
TX198810703Medicaid
TXTXB116798Medicare PIN