Provider Demographics
NPI:1841209194
Name:NGUYEN, MARIA K (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:K
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:PO BOX 900
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-0900
Mailing Address - Country:US
Mailing Address - Phone:832-912-8400
Mailing Address - Fax:
Practice Address - Street 1:12609 LOUETTA RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5136
Practice Address - Country:US
Practice Address - Phone:832-912-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8694207RI0200X
KYTP023207RI0200X
PAMD476803207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116526804Medicaid
TX8F27229Medicare PIN
TXX72739Medicare UPIN