Provider Demographics
NPI:1134717200
Name:NGUYEN, DANNA THAO (DC)
Entity type:Individual
Prefix:DR
First Name:DANNA
Middle Name:THAO
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANNA
Other - Middle Name:THAO
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOLE MBR
Mailing Address - Street 1:8705 HERON NEST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1740
Mailing Address - Country:US
Mailing Address - Phone:832-664-0774
Mailing Address - Fax:
Practice Address - Street 1:1210 ALLENDALE RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-3306
Practice Address - Country:US
Practice Address - Phone:832-582-5301
Practice Address - Fax:832-582-5310
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14586111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor