Provider Demographics
NPI:1568585248
Name:NGUYEN, TRUC H (OD)
Entity Type:Individual
Prefix:DR
First Name:TRUC
Middle Name:H
Last Name:NGUYEN
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 1:4219 CROW VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4281
Mailing Address - Country:US
Mailing Address - Phone:281-793-0721
Mailing Address - Fax:
Practice Address - Street 1:5330 FM 1640 RD STE 535
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469
Practice Address - Country:US
Practice Address - Phone:281-232-9922
Practice Address - Fax:281-232-9927
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5197TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist