Provider Demographics
NPI:1780946046
Name:NGUYEN, ELIZABETH (MD, ABPN, FAPA)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD, ABPN, FAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6575 WEST LOOP SOUTH FREEWAY
Mailing Address - Street 2:SUITE 543
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401
Mailing Address - Country:US
Mailing Address - Phone:281-832-9340
Mailing Address - Fax:
Practice Address - Street 1:6575 WEST LOOP SOUTH FREEWAY
Practice Address - Street 2:SUITE 543
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-7740
Practice Address - Country:US
Practice Address - Phone:281-832-9340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-13
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP87082084P0800X
TXBP100373662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBP10037366OtherTEXAS PHYSICIANS IN TRAINING PERMIT NUMBER