Provider Demographics
NPI:1386418499
Name:NGUYEN, TUONG NHAT (RPH)
Entity type:Individual
Prefix:DR
First Name:TUONG
Middle Name:NHAT
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 TRAILHOUSE LN APT 1311
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3160
Mailing Address - Country:US
Mailing Address - Phone:713-425-9871
Mailing Address - Fax:
Practice Address - Street 1:500 MARKETPLACE BLVD
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6740
Practice Address - Country:US
Practice Address - Phone:972-564-8490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72566183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist