Provider Demographics
NPI:1881663193
Name:NGUYEN, TUAN H (MD)
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 E BELKNAP ST STE 12
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76111-6637
Mailing Address - Country:US
Mailing Address - Phone:817-759-2315
Mailing Address - Fax:817-759-2316
Practice Address - Street 1:4045 E BELKNAP ST
Practice Address - Street 2:SUITE 12
Practice Address - City:HALTOM CITY
Practice Address - State:TX
Practice Address - Zip Code:76111-6638
Practice Address - Country:US
Practice Address - Phone:817-759-2315
Practice Address - Fax:817-759-2316
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8D9638Medicare PIN
TXH44162Medicare UPIN
TX8G0298Medicare PIN
TX163642502Medicaid