Provider Demographics
NPI:1972005544
Name:NGUYEN, THUY KIM (, DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:THUY
Middle Name:KIM
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:, DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8010 RIVERINE TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-4738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1856 FM 359 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1296
Practice Address - Country:US
Practice Address - Phone:281-762-0472
Practice Address - Fax:713-481-8875
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121000870171100000X
TXAC01167171100000X
MSAC00007171100000X
OH66.000053171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist