Provider Demographics
NPI:1619019510
Name:NGUYEN, PHI P (MD)
Entity Type:Individual
Prefix:
First Name:PHI
Middle Name:P
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9798 BELLAIRE BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3427
Mailing Address - Country:US
Mailing Address - Phone:713-995-6888
Mailing Address - Fax:713-995-8188
Practice Address - Street 1:9798 BELLAIRE BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3427
Practice Address - Country:US
Practice Address - Phone:713-995-6888
Practice Address - Fax:713-995-8188
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ-2966208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery