Provider Demographics
NPI:1851464762
Name:NGUYEN, DUYEN THU (OD)
Entity Type:Individual
Prefix:DR
First Name:DUYEN
Middle Name:THU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3137 W HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1505
Mailing Address - Country:US
Mailing Address - Phone:713-349-9292
Mailing Address - Fax:713-349-8989
Practice Address - Street 1:3137 W HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1505
Practice Address - Country:US
Practice Address - Phone:713-349-9292
Practice Address - Fax:713-349-8989
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6236152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU92721Medicare UPIN