Provider Demographics
NPI:1457452757
Name:NGUYEN, WILLIAM L (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4126 SOUTHWEST FREEWAY
Mailing Address - Street 2:#600C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027
Mailing Address - Country:US
Mailing Address - Phone:713-626-9971
Mailing Address - Fax:713-626-9981
Practice Address - Street 1:4126 SOUTHWEST FREEWAY
Practice Address - Street 2:#600C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-626-9971
Practice Address - Fax:713-626-9981
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ4392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140242225Medicaid
TX140242225Medicaid
F74293Medicare UPIN