Provider Demographics
NPI:1710046982
Name:NGUYEN, HANH DIEU THI (MD)
Entity Type:Individual
Prefix:DR
First Name:HANH DIEU
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6513A CHASE OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-2309
Mailing Address - Country:US
Mailing Address - Phone:972-509-0752
Mailing Address - Fax:972-517-8770
Practice Address - Street 1:6513A CHASE OAKS BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-2309
Practice Address - Country:US
Practice Address - Phone:972-509-0752
Practice Address - Fax:972-517-8770
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79662207Q00000X
TXL9826207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH09312Medicare UPIN
TX8D2706Medicare PIN
TX8F2304Medicare PIN