Provider Demographics
NPI:1477636454
Name:NGUYEN, GIAO QUYNHTHI (MD)
Entity Type:Individual
Prefix:MRS
First Name:GIAO
Middle Name:QUYNHTHI
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 1:1701 WEBSTER ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-5800
Mailing Address - Country:US
Mailing Address - Phone:713-655-9083
Mailing Address - Fax:713-655-1704
Practice Address - Street 1:1701 WEBSTER ST STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-5800
Practice Address - Country:US
Practice Address - Phone:713-655-9083
Practice Address - Fax:713-655-1704
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111550301Medicaid
POOO00E4639Medicare ID - Type Unspecified
E02388Medicare UPIN