Provider Demographics
NPI:1902393366
Name:NGUYEN, BRIAN HIEU (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HIEU
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 1:1222 N BISHOP AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4176
Mailing Address - Country:US
Mailing Address - Phone:214-941-1353
Mailing Address - Fax:214-941-1047
Practice Address - Street 1:1222 N BISHOP AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4176
Practice Address - Country:US
Practice Address - Phone:214-941-1353
Practice Address - Fax:214-941-1047
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1404812417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty