Provider Demographics
NPI:1649759952
Name:NGUYEN, HONG (APRN)
Entity Type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2128 SPEARS RD
Mailing Address - Street 2:STE 600
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1318
Mailing Address - Country:US
Mailing Address - Phone:281-919-1165
Mailing Address - Fax:
Practice Address - Street 1:2128 SPEARS RD
Practice Address - Street 2:STE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-1318
Practice Address - Country:US
Practice Address - Phone:281-397-1410
Practice Address - Fax:281-397-1411
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily