Provider Demographics
NPI:1427257526
Name:NGUYEN, THE-NGOC DINH (MD)
Entity type:Individual
Prefix:
First Name:THE-NGOC
Middle Name:DINH
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 SPRING CYPRESS RD
Mailing Address - Street 2:#108
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3354
Mailing Address - Country:US
Mailing Address - Phone:281-376-2200
Mailing Address - Fax:281-376-2205
Practice Address - Street 1:8515 SPRING CYPRESS RD
Practice Address - Street 2:#108
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3354
Practice Address - Country:US
Practice Address - Phone:281-376-2200
Practice Address - Fax:281-376-2205
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6312207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM6312OtherTEXAS LICENSE