Provider Demographics
NPI:1619905494
Name:NGUYEN, XUONG HUY (MD)
Entity Type:Individual
Prefix:DR
First Name:XUONG
Middle Name:HUY
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 1:4311 TOWERING OAK CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3147
Mailing Address - Country:US
Mailing Address - Phone:832-766-9656
Mailing Address - Fax:281-461-8776
Practice Address - Street 1:8282 BELLAIRE BLVD
Practice Address - Street 2:144
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4050
Practice Address - Country:US
Practice Address - Phone:713-779-2212
Practice Address - Fax:713-779-2213
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6580208100000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX612292Medicare ID - Type Unspecified
TXB89487Medicare UPIN