Provider Demographics
NPI:1154381077
Name:NGUYEN, TRANG H (MD)
Entity type:Individual
Prefix:DR
First Name:TRANG
Middle Name:H
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 MAPLERIDGE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-4648
Mailing Address - Country:US
Mailing Address - Phone:513-965-8770
Mailing Address - Fax:281-407-6309
Practice Address - Street 1:5724 SIGNAL HILL CT
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1483
Practice Address - Country:US
Practice Address - Phone:513-965-8770
Practice Address - Fax:513-965-3939
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9243207QA0505X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124887403Medicaid
TX88811JMedicare ID - Type Unspecified
F94462Medicare UPIN