Provider Demographics
NPI:1578564027
Name:NGUYEN, BANG H (DC)
Entity Type:Individual
Prefix:
First Name:BANG
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14415 HUFFMEISTER RD
Mailing Address - Street 2:STE 101
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1825
Mailing Address - Country:US
Mailing Address - Phone:281-758-0808
Mailing Address - Fax:281-758-0870
Practice Address - Street 1:14415 HUFFMEISTER RD
Practice Address - Street 2:STE 101
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1825
Practice Address - Country:US
Practice Address - Phone:281-758-0808
Practice Address - Fax:281-758-0870
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 7038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0019838 02Medicaid
TX8A2787Medicare ID - Type Unspecified
TX0019838 02Medicaid