Provider Demographics
NPI:1770776502
Name:TOM T. NGUYEN, M.D., P.A.
Entity type:Organization
Organization Name:TOM T. NGUYEN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-322-2222
Mailing Address - Street 1:9722 HIGHWAY 90A
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4625
Mailing Address - Country:US
Mailing Address - Phone:281-322-2222
Mailing Address - Fax:281-265-0928
Practice Address - Street 1:9722 HIGHWAY 90A
Practice Address - Street 2:SUITE 207
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4625
Practice Address - Country:US
Practice Address - Phone:281-322-2222
Practice Address - Fax:281-265-0928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5431207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122884301Medicaid
TXP00379798OtherMEDICARE RAILROAD
TX122884301Medicaid
TX00T88CMedicare PIN