Provider Demographics
NPI:1972607307
Name:NGUYEN, DUNG QUOC (DC)
Entity Type:Individual
Prefix:
First Name:DUNG
Middle Name:QUOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 ANTOINE DR STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2522
Mailing Address - Country:US
Mailing Address - Phone:281-448-7555
Mailing Address - Fax:281-448-7666
Practice Address - Street 1:8240 ANTOINE DR STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2522
Practice Address - Country:US
Practice Address - Phone:281-448-7555
Practice Address - Fax:281-448-7666
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8526111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health