Provider Demographics
NPI:1568464840
Name:NGUYEN-TRAN, CHAU DANG-THI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:DANG-THI
Last Name:NGUYEN-TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 W GRAND PKWY S STE 430
Mailing Address - Street 2:SUGAR LAND WOMEN'S CARE PLLC
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2649
Mailing Address - Country:US
Mailing Address - Phone:713-578-3820
Mailing Address - Fax:281-232-3349
Practice Address - Street 1:17510 W GRAND PKWY S STE 430
Practice Address - Street 2:SUGAR LAND WOMEN'S CARE PLLC
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2649
Practice Address - Country:US
Practice Address - Phone:713-578-3820
Practice Address - Fax:281-232-3349
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2501207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1593261-01Medicaid
TX8A6811OtherBLUE CROSS & BLUE SHIELD
TXH45792Medicare UPIN
TX1593261-01Medicaid
TX8J0010Medicare PIN