Provider Demographics
NPI:1437287133
Name:CHI D NGUYEN MD PA
Entity Type:Organization
Organization Name:CHI D NGUYEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CHI
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-544-3336
Mailing Address - Street 1:4770 N EXPRESSWAY
Mailing Address - Street 2:STE 106
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4120
Mailing Address - Country:US
Mailing Address - Phone:956-544-3336
Mailing Address - Fax:956-544-1705
Practice Address - Street 1:4770 N EXPRESSWAY
Practice Address - Street 2:STE 106
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4120
Practice Address - Country:US
Practice Address - Phone:956-544-3336
Practice Address - Fax:956-544-1705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1586207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX030272101Medicaid
TX0041AFOtherBCBS PROVIDER NUMBER
TX0041AFOtherBCBS PROVIDER NUMBER
TXF20380Medicare UPIN