Provider Demographics
NPI:1881696888
Name:NGUYEN, BINH T (MD)
Entity type:Individual
Prefix:DR
First Name:BINH
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10049 WESTPARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-5950
Mailing Address - Country:US
Mailing Address - Phone:713-790-9080
Mailing Address - Fax:713-790-1664
Practice Address - Street 1:1415 LA CONCHA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1801
Practice Address - Country:US
Practice Address - Phone:713-790-9080
Practice Address - Fax:713-790-1664
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5846207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172558201Medicaid
TX8S2290OtherBLUE CROSS BLUE SHIELD
TXP00270419OtherMEDICARE RAILROAD
TXP00270419OtherMEDICARE RAILROAD
TX172558201Medicaid