Provider Demographics
NPI:1407243140
Name:NGUYEN, THU-HOAI CECELIA (MD)
Entity Type:Individual
Prefix:
First Name:THU-HOAI
Middle Name:CECELIA
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 1:2504 PEMBERTON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-2408
Mailing Address - Country:US
Mailing Address - Phone:813-716-7025
Mailing Address - Fax:
Practice Address - Street 1:7750 S BROADWAY STE 220
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2630
Practice Address - Country:US
Practice Address - Phone:720-283-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100526532086S0122X
CODR00660232086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery