Provider Demographics
NPI:1659443190
Name:C NGUYEN MEDICAL MANAGEMENT INC
Entity Type:Organization
Organization Name:C NGUYEN MEDICAL MANAGEMENT INC
Other - Org Name:HOPE FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FAMILY NURSE PRACTITTIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN-MOEN
Authorized Official - Suffix:
Authorized Official - Credentials:C-FNP
Authorized Official - Phone:713-673-9400
Mailing Address - Street 1:723 SHOTWELL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77020-4813
Mailing Address - Country:US
Mailing Address - Phone:713-673-9400
Mailing Address - Fax:713-673-9401
Practice Address - Street 1:723 SHOTWELL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-4813
Practice Address - Country:US
Practice Address - Phone:713-673-9400
Practice Address - Fax:713-673-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty