Provider Demographics
NPI:1649561721
Name:TRAM-ANH NGUYEN, O.D, P.C
Entity Type:Organization
Organization Name:TRAM-ANH NGUYEN, O.D, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TRAM-ANH
Authorized Official - Middle Name:HIEN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-875-7790
Mailing Address - Street 1:1667 S IH 35 STE 101
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6854
Mailing Address - Country:US
Mailing Address - Phone:830-500-3853
Mailing Address - Fax:210-620-8426
Practice Address - Street 1:1667 S IH 35 STE 101
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6854
Practice Address - Country:US
Practice Address - Phone:830-500-3853
Practice Address - Fax:210-620-8426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6951TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197528601Medicaid