Provider Demographics
NPI:1407017411
Name:NGUYEN, HOA H (DC)
Entity type:Individual
Prefix:
First Name:HOA
Middle Name:H
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:CALVIN
Other - Middle Name:HOA
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3730 N JOSEY LN STE 122
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2439
Mailing Address - Country:US
Mailing Address - Phone:469-986-9171
Mailing Address - Fax:
Practice Address - Street 1:3730 N JOSEY LN STE 122
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2439
Practice Address - Country:US
Practice Address - Phone:469-986-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10720111N00000X
FLCH 9821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor