Provider Demographics
NPI:1841559283
Name:NGUYEN, AN L (MD)
Entity Type:Individual
Prefix:DR
First Name:AN
Middle Name:L
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HERMANN DR STE 550
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7089
Mailing Address - Country:US
Mailing Address - Phone:832-512-4592
Mailing Address - Fax:713-820-6377
Practice Address - Street 1:1213 HERMANN DR STE 550
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7089
Practice Address - Country:US
Practice Address - Phone:713-820-6380
Practice Address - Fax:713-820-6377
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2691207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFN5257084OtherDEA