Provider Demographics
NPI:1922336593
Name:NGUYEN, THI X (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THI
Middle Name:X
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MR
Other - First Name:THI
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:IV
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5859 FRANKFORD RD
Mailing Address - Street 2:1101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5378
Mailing Address - Country:US
Mailing Address - Phone:405-921-9955
Mailing Address - Fax:
Practice Address - Street 1:5859 FRANKFORD RD
Practice Address - Street 2:#1101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5378
Practice Address - Country:US
Practice Address - Phone:405-921-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44141183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist