Provider Demographics
NPI:1710090048
Name:NGUYEN, GIANG LE (MD)
Entity Type:Individual
Prefix:
First Name:GIANG
Middle Name:LE
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 1:1712 FIRST STREET
Mailing Address - Street 2:SUITE M20
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5238
Mailing Address - Country:US
Mailing Address - Phone:281-446-4139
Mailing Address - Fax:
Practice Address - Street 1:1712 FIRST STREET
Practice Address - Street 2:SUITE M20
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5238
Practice Address - Country:US
Practice Address - Phone:281-446-4139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEEC061114207Q00000X
TXN3943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MENONEOtherRESIDENT-NO PROV #
ME432680999Medicaid