Provider Demographics
NPI:1578698080
Name:NGUYEN, ADRIAN HA (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:HA
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 ALLIANCE BLVD
Mailing Address - Street 2:SUITE 550
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5340
Mailing Address - Country:US
Mailing Address - Phone:469-800-6050
Mailing Address - Fax:469-800-6057
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 550
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:469-800-6050
Practice Address - Fax:469-800-6057
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DB574OtherBCBSTX
TX145477902Medicaid
TX8DB574OtherBCBSTX
TX145477902Medicaid