Provider Demographics
NPI:1942263025
Name:NGUYEN, VIET H (MD)
Entity Type:Individual
Prefix:DR
First Name:VIET
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 1:4408 MILDRED ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5208
Mailing Address - Country:US
Mailing Address - Phone:713-223-0838
Mailing Address - Fax:713-223-1310
Practice Address - Street 1:2004 LEELAND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-5133
Practice Address - Country:US
Practice Address - Phone:713-223-0838
Practice Address - Fax:713-223-1310
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP0104478OtherDPS
TXK2765OtherMEDICAL LICENSE
TX096932101Medicaid
TX096932101Medicaid
TXBN5593012OtherDEA
TXP0104478OtherDPS