Provider Demographics
NPI:1609197995
Name:NGUYEN, TUYET-ANH THI (MD)
Entity Type:Individual
Prefix:
First Name:TUYET-ANH
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANH
Other - Middle Name:TUYET
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1819 E GRAUWYLER RD APT 168
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-3045
Mailing Address - Country:US
Mailing Address - Phone:469-471-7361
Mailing Address - Fax:
Practice Address - Street 1:2377 N STEMMONS FWY STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2710
Practice Address - Country:US
Practice Address - Phone:631-444-3902
Practice Address - Fax:631-444-7525
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2023-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP39432083T0002X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology