Provider Demographics
NPI:1245451145
Name:NGUYEN, THANH-THUY THI (MD)
Entity type:Individual
Prefix:DR
First Name:THANH-THUY
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 SALAZAR TRAIL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216
Mailing Address - Country:US
Mailing Address - Phone:210-479-0088
Mailing Address - Fax:210-479-0081
Practice Address - Street 1:1222 SALAZAR TRAIL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216
Practice Address - Country:US
Practice Address - Phone:210-479-0088
Practice Address - Fax:210-479-0081
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1588251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR0098886OtherTX DPS NUMBER
TXK1588OtherLICENSE NUMBER
TXK1588OtherLICENSE NUMBER