Provider Demographics
NPI:1306144191
Name:NGUYEN, UY QUOC SR (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:UY
Middle Name:QUOC
Last Name:NGUYEN
Suffix:SR
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6517 W SAM HOUSTON PKWY. N.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-5104
Mailing Address - Country:US
Mailing Address - Phone:281-955-9258
Mailing Address - Fax:713-856-7632
Practice Address - Street 1:6517 W SAM HOUSTON PKWY. N.
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5104
Practice Address - Country:US
Practice Address - Phone:281-955-9258
Practice Address - Fax:713-856-7632
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00318171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist