Provider Demographics
NPI:1558848648
Name:NHAN, KRISTINA NGOC-THUY (OD)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:NGOC-THUY
Last Name:NHAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 PRESTON RD STE 265
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5203
Mailing Address - Country:US
Mailing Address - Phone:972-519-0006
Mailing Address - Fax:
Practice Address - Street 1:1900 PRESTON RD STE 265
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5203
Practice Address - Country:US
Practice Address - Phone:972-519-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9498T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist