Provider Demographics
NPI:1376898866
Name:NGUYEN, TIMOTHY II (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:
Last Name:NGUYEN
Suffix:II
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 1:7010 CHAMPIONS PLAZA DR
Mailing Address - Street 2:STE. 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2396
Mailing Address - Country:US
Mailing Address - Phone:281-880-9180
Mailing Address - Fax:844-895-3067
Practice Address - Street 1:7010 CHAMPIONS PLAZA DR
Practice Address - Street 2:STE. 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2396
Practice Address - Country:US
Practice Address - Phone:281-880-9180
Practice Address - Fax:844-895-3067
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP4793207L00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program