Provider Demographics
NPI:1619041407
Name:NGUYEN, CHAU HOANG (DO)
Entity Type:Individual
Prefix:DR
First Name:CHAU
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 WESTINGHOUSE RD STE 1190
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7645
Mailing Address - Country:US
Mailing Address - Phone:512-348-6399
Mailing Address - Fax:512-895-9698
Practice Address - Street 1:1821 WESTINGHOUSE RD STE 1190
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7645
Practice Address - Country:US
Practice Address - Phone:512-348-6399
Practice Address - Fax:512-895-9698
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE370207Q00000X
TXN0313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine