Provider Demographics
NPI:1801617717
Name:NGUYEN, NHU THI HUE (MPAS)
Entity type:Individual
Prefix:
First Name:NHU
Middle Name:THI HUE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21122 CHADBOURNE TRACE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2683
Mailing Address - Country:US
Mailing Address - Phone:281-730-4998
Mailing Address - Fax:
Practice Address - Street 1:19002 PARK ROW STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7060
Practice Address - Country:US
Practice Address - Phone:346-251-5901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18448363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical