Provider Demographics
NPI:1497330377
Name:NGUYEN, DIEM MINH
Entity Type:Individual
Prefix:MRS
First Name:DIEM
Middle Name:MINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 DULLES AVE
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2950
Mailing Address - Country:US
Mailing Address - Phone:281-688-4888
Mailing Address - Fax:281-208-7353
Practice Address - Street 1:2837 DULLES AVE
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2950
Practice Address - Country:US
Practice Address - Phone:281-688-4888
Practice Address - Fax:281-208-7353
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1013530363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care