Provider Demographics
NPI:1649554825
Name:NGUYEN, CHI L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHI
Middle Name:L
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1761 ADEN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77003-5309
Mailing Address - Country:US
Mailing Address - Phone:713-208-2003
Mailing Address - Fax:
Practice Address - Street 1:8901 FM 1960 BYPASS RD W STE 102
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4019
Practice Address - Country:US
Practice Address - Phone:281-446-0061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50593183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist