Provider Demographics
NPI:1427182914
Name:NGUYEN, LINH DIEM (OD)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:DIEM
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11355 RICHMOND AVE
Mailing Address - Street 2:APT. # 515
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-7635
Mailing Address - Country:US
Mailing Address - Phone:832-607-2910
Mailing Address - Fax:
Practice Address - Street 1:9570 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1410
Practice Address - Country:US
Practice Address - Phone:713-778-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6025T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist