Provider Demographics
NPI:1104101765
Name:NGUYEN, DINH D (DC)
Entity type:Individual
Prefix:DR
First Name:DINH
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 721913
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77272-1913
Mailing Address - Country:US
Mailing Address - Phone:281-931-8899
Mailing Address - Fax:866-931-4005
Practice Address - Street 1:7419 S KIRKWOOD RD STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3350
Practice Address - Country:US
Practice Address - Phone:281-931-8899
Practice Address - Fax:866-931-4005
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6241111N00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No251E00000XAgenciesHome Health