Provider Demographics
NPI:1780811810
Name:NGUYEN, JULIE CAOTRIEU (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:CAOTRIEU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST # SM1001
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-6722
Mailing Address - Fax:713-793-7064
Practice Address - Street 1:6550 FANNIN ST # SM1001
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-6722
Practice Address - Fax:713-793-7064
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN2686207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203558603Medicaid
TX1780811810OtherBLUE CROSS BLUE SHIELD
TX203558602Medicaid
TXP00846911OtherMEDICARE RAILROAD
TXP01030481OtherRR MEDICARE
TX203558601Medicaid
TX203558603Medicaid
TX203558601Medicaid
TXP00846911OtherMEDICARE RAILROAD