Provider Demographics
NPI:1740743178
Name:NGUYEN, JOHN NGOC (NP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 BARKER CYPRESS RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5294
Mailing Address - Country:US
Mailing Address - Phone:281-345-2336
Mailing Address - Fax:
Practice Address - Street 1:11810 FARM TO MARKET 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:832-912-7111
Practice Address - Fax:832-912-7117
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily