Provider Demographics
NPI:1649403858
Name:NGUYEN, MINH T (MD)
Entity Type:Individual
Prefix:DR
First Name:MINH
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18400 KATY FWY
Mailing Address - Street 2:SUITE 560
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1286
Mailing Address - Country:US
Mailing Address - Phone:832-522-3240
Mailing Address - Fax:281-578-2404
Practice Address - Street 1:18400 KATY FWY
Practice Address - Street 2:SUITE 560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1286
Practice Address - Country:US
Practice Address - Phone:832-522-3240
Practice Address - Fax:281-578-2404
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2016-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7729208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8ER685OtherBLUE CROSS BLUE SHIELD
TX218270102Medicaid
TX8ER685OtherBLUE CROSS BLUE SHIELD
TX485314YMVQMedicare PIN