Provider Demographics
NPI:1275528481
Name:NGUYEN, LOI PHI (MD)
Entity Type:Individual
Prefix:DR
First Name:LOI
Middle Name:PHI
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 1:12168 BELLAIRE BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2644
Mailing Address - Country:US
Mailing Address - Phone:281-988-6462
Mailing Address - Fax:281-988-7462
Practice Address - Street 1:12168 BELLAIRE BLVD STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2644
Practice Address - Country:US
Practice Address - Phone:281-988-6462
Practice Address - Fax:281-988-7462
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2015-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3275207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
E30964Medicare UPIN
88W560Medicare PIN