Provider Demographics
NPI:1215187836
Name:THU C NGUYEN MD PA
Entity type:Organization
Organization Name:THU C NGUYEN MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONG
Authorized Official - Middle Name:THU
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-237-7777
Mailing Address - Street 1:27230 HIGHWAY 290 DEPT 300
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2214
Mailing Address - Country:US
Mailing Address - Phone:832-237-7777
Mailing Address - Fax:713-456-3516
Practice Address - Street 1:27230 HIGHWAY 290 DEPT 300
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-2214
Practice Address - Country:US
Practice Address - Phone:832-237-7777
Practice Address - Fax:713-456-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty