Provider Demographics
NPI:1417184813
Name:NGUYEN, KHOINGUYEN T (MD)
Entity Type:Individual
Prefix:DR
First Name:KHOINGUYEN
Middle Name:T
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 1:7601 W SAM HOUSTON PKWY S STE 800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5240
Mailing Address - Country:US
Mailing Address - Phone:713-742-2779
Mailing Address - Fax:
Practice Address - Street 1:7601 W SAM HOUSTON PKWY S STE 800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5240
Practice Address - Country:US
Practice Address - Phone:713-742-2779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4618207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX260369YKYNMedicare PIN