Provider Demographics
NPI:1558781153
Name:NGUYEN, HONG AN THI (MD)
Entity type:Individual
Prefix:
First Name:HONG AN
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10751 MARSH LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-5146
Mailing Address - Country:US
Mailing Address - Phone:469-358-2630
Mailing Address - Fax:469-915-4841
Practice Address - Street 1:625 S PRESTON RD
Practice Address - Street 2:SUITE 130
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009
Practice Address - Country:US
Practice Address - Phone:469-915-4825
Practice Address - Fax:469-915-4841
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8762207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine