Provider Demographics
NPI:1558552208
Name:NGUYEN, DONALD (PT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 890389
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-0389
Mailing Address - Country:US
Mailing Address - Phone:281-286-8520
Mailing Address - Fax:281-286-2947
Practice Address - Street 1:1007 S CONGRESS AVE
Practice Address - Street 2:SUITE B11
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-8707
Practice Address - Country:US
Practice Address - Phone:512-326-5333
Practice Address - Fax:512-326-5335
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1174541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist