Provider Demographics
NPI:1558043851
Name:NGAN T NGUYEN MD PLLC
Entity Type:Organization
Organization Name:NGAN T NGUYEN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NGAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-577-3784
Mailing Address - Street 1:23920 KATY FWY STE 405
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0805
Mailing Address - Country:US
Mailing Address - Phone:346-297-0777
Mailing Address - Fax:346-299-1797
Practice Address - Street 1:23920 KATY FWY STE 405
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0805
Practice Address - Country:US
Practice Address - Phone:346-297-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty