Provider Demographics
NPI:1316436991
Name:NGUYEN, NATHAN THUAN (DC, MS)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:THUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 KIRBY DR APT B707
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1491
Mailing Address - Country:US
Mailing Address - Phone:714-468-9622
Mailing Address - Fax:
Practice Address - Street 1:2240 W HOLCOMBE BLVD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2008
Practice Address - Country:US
Practice Address - Phone:714-468-9622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor