Provider Demographics
NPI:1598359556
Name:NGUYEN, PAULA PHUONG (DC)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:PHUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SCEPTER RDG
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2517
Mailing Address - Country:US
Mailing Address - Phone:832-877-0666
Mailing Address - Fax:
Practice Address - Street 1:6725 S FRY RD STE 500
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7902
Practice Address - Country:US
Practice Address - Phone:281-398-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor