Provider Demographics
NPI:1336499508
Name:THUY KIM NGUYEN
Entity Type:Organization
Organization Name:THUY KIM NGUYEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:THUY
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-997-8813
Mailing Address - Street 1:2225 COUNTRY ROAD. 90, SUITE 117
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4891
Mailing Address - Country:US
Mailing Address - Phone:281-997-8813
Mailing Address - Fax:281-997-0683
Practice Address - Street 1:3221 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-2901
Practice Address - Country:US
Practice Address - Phone:281-997-8813
Practice Address - Fax:281-997-0683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8697174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty