Provider Demographics
NPI:1528698693
Name:NGUYEN, HOANG JAMES TUAN (FNP-C)
Entity type:Individual
Prefix:MR
First Name:HOANG JAMES
Middle Name:TUAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ACADIAN GARDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRIDGE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77611-3456
Mailing Address - Country:US
Mailing Address - Phone:409-460-8540
Mailing Address - Fax:
Practice Address - Street 1:3560 DELAWARE ST STE 1104
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3000
Practice Address - Country:US
Practice Address - Phone:409-347-8870
Practice Address - Fax:409-347-8878
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily