Provider Demographics
NPI:1659713600
Name:NGUYEN, REGINA ANH XUAN (OD)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:ANH XUAN
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 1:2602 ELDRIDGE PKWY STE L
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6891
Mailing Address - Country:US
Mailing Address - Phone:281-558-1832
Mailing Address - Fax:281-558-5877
Practice Address - Street 1:2602 ELDRIDGE PKWY STE L
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6891
Practice Address - Country:US
Practice Address - Phone:832-606-4462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8181T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist