Provider Demographics
NPI:1659590602
Name:NGUYEN, KIM-HUONG (OD)
Entity Type:Individual
Prefix:DR
First Name:KIM-HUONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13040 LOUETTA RD
Mailing Address - Street 2:SUITE 232
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5216
Mailing Address - Country:US
Mailing Address - Phone:281-370-9890
Mailing Address - Fax:281-370-8196
Practice Address - Street 1:13040 LOUETTA RD
Practice Address - Street 2:SUITE 232
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5216
Practice Address - Country:US
Practice Address - Phone:281-370-9890
Practice Address - Fax:281-370-8196
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5437T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU82734Medicare UPIN
TX83168EMedicare ID - Type Unspecified