Provider Demographics
NPI:1710356787
Name:NGUYEN, TRANG T (OD)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:T
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 1:9331 DOCHFOUR LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1168
Mailing Address - Country:US
Mailing Address - Phone:713-614-7678
Mailing Address - Fax:
Practice Address - Street 1:23541 WESTHEIMER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3597
Practice Address - Country:US
Practice Address - Phone:713-614-7678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2020-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8816T152W00000X
TX8816TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist