Provider Demographics
NPI:1306886387
Name:NGUYEN, VINH D (DO)
Entity type:Individual
Prefix:
First Name:VINH
Middle Name:D
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
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 1509
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78295-1509
Mailing Address - Country:US
Mailing Address - Phone:512-623-5300
Mailing Address - Fax:512-623-5399
Practice Address - Street 1:4316 JAMES CASEY ST
Practice Address - Street 2:BLDG. A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1157
Practice Address - Country:US
Practice Address - Phone:512-623-5300
Practice Address - Fax:512-623-5399
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2017-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8865207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167749403Medicaid
TX167749402Medicaid
TXP00699708OtherMEDICARE RAILROAD
TX167749404Medicaid
TX8BX078OtherBCBSTX
TXP00329827OtherMEDICARE RAILROAD
TX167749404Medicaid
TX8BX078OtherBCBSTX
TXP00699708OtherMEDICARE RAILROAD
TX167749402Medicaid