Provider Demographics
NPI:1780765727
Name:NGUYEN, JENNIFER DINH (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNIFER LIEN-HUONG
Other - Middle Name:DINH
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:MICHAEL E. DEBAKEY VAMC, ANESTHESIOLOGY SERVICE (145)
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-7674
Practice Address - Street 1:2002 HOLCOMBE BLVD.
Practice Address - Street 2:MICHAEL E. DEBAKEY VAMC, ANESTHESIOLOGY SERVICE (145)
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:713-794-7674
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6626207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145268201Medicaid
H43583Medicare UPIN
TX8B6078Medicare PIN
TX050082301Medicare PIN
TX145268201Medicaid