Provider Demographics
NPI:1528060464
Name:NGUYEN, SCHUBERT-THUY (OD)
Entity type:Individual
Prefix:DR
First Name:SCHUBERT-THUY
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:STE 248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5045
Mailing Address - Country:US
Mailing Address - Phone:281-568-8787
Mailing Address - Fax:281-568-8786
Practice Address - Street 1:8300 W SAM HOUSTON PKWY S
Practice Address - Street 2:STE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5045
Practice Address - Country:US
Practice Address - Phone:281-568-8787
Practice Address - Fax:281-568-8786
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2009-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6606TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168592701Medicaid
TXV02126Medicare UPIN
8F21633Medicare PIN