Provider Demographics
NPI:1336273853
Name:NGUYEN, QUOC THAI (DC)
Entity Type:Individual
Prefix:
First Name:QUOC
Middle Name:THAI
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 1:4151 SW FWY
Mailing Address - Street 2:210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7312
Mailing Address - Country:US
Mailing Address - Phone:713-395-6308
Mailing Address - Fax:713-395-6307
Practice Address - Street 1:4151 SW FWY
Practice Address - Street 2:750
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7312
Practice Address - Country:US
Practice Address - Phone:713-395-6308
Practice Address - Fax:713-395-6307
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor