Provider Demographics
NPI:1336475599
Name:NGUYEN, TAMANH DUYET (OD)
Entity Type:Individual
Prefix:DR
First Name:TAMANH
Middle Name:DUYET
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2244 FOX RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2607
Mailing Address - Country:US
Mailing Address - Phone:832-630-9379
Mailing Address - Fax:
Practice Address - Street 1:3060 FM 407 STE 2
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7047
Practice Address - Country:US
Practice Address - Phone:972-906-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7377TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist