Provider Demographics
NPI:1922069624
Name:NGUYEN, ALEX P (M D)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:P
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 FROSTWOOD DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2420
Mailing Address - Country:US
Mailing Address - Phone:713-800-0656
Mailing Address - Fax:713-827-1380
Practice Address - Street 1:925 GESSNER
Practice Address - Street 2:SUITE 600
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-827-9525
Practice Address - Fax:713-468-3561
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8452207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
7659601OtherAETNA
TX2322957OtherBLUELINK
TX8V3231OtherBLUE CHOICE
TX10036694OtherAMERIGROUP
TX176252801Medicaid
7659601OtherAETNA
TX8V3231OtherBLUE CHOICE
TXI08007Medicare UPIN