Provider Demographics
NPI:1235224254
Name:NGUYEN, HANH (MD)
Entity Type:Individual
Prefix:DR
First Name:HANH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 W. GRAND PARKWAY SOUTH
Mailing Address - Street 2:SUITE 580
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-341-9600
Mailing Address - Fax:832-595-2229
Practice Address - Street 1:17510 W. GRAND PARKWAY SOUTH
Practice Address - Street 2:SUITE 580
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-341-9600
Practice Address - Fax:832-595-2229
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8959208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100466Medicare UPIN