Provider Demographics
NPI:1528025152
Name:NGUYEN, HUYEN TRAM (DDS)
Entity Type:Individual
Prefix:
First Name:HUYEN
Middle Name:TRAM
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 SHADYWIND DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2330
Mailing Address - Country:US
Mailing Address - Phone:281-447-7220
Mailing Address - Fax:281-447-2221
Practice Address - Street 1:410 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1305
Practice Address - Country:US
Practice Address - Phone:281-447-7220
Practice Address - Fax:281-447-7221
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX198701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice