Provider Demographics
NPI:1265205082
Name:NGUYEN, NHAT H
Entity type:Individual
Prefix:MR
First Name:NHAT
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:THOMAS
Other - Middle Name:NHAT
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10327 FOUNTAIN SHORES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3996
Mailing Address - Country:US
Mailing Address - Phone:812-650-8228
Mailing Address - Fax:
Practice Address - Street 1:10327 FOUNTAIN SHORES DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3996
Practice Address - Country:US
Practice Address - Phone:812-650-8228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT136520225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist