Provider Demographics
NPI:1699768267
Name:NGUYEN, THU-TRINH (TRINA) NU (DMD)
Entity type:Individual
Prefix:DR
First Name:THU-TRINH (TRINA)
Middle Name:NU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8282 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 147
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4050
Mailing Address - Country:US
Mailing Address - Phone:713-778-0100
Mailing Address - Fax:713-778-0500
Practice Address - Street 1:8282 BELLAIRE BLVD
Practice Address - Street 2:SUITE 147
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4050
Practice Address - Country:US
Practice Address - Phone:713-778-0100
Practice Address - Fax:713-778-0500
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UNITED CONCORDIAOther1729988
TX383720545OtherEMPLOYER ID NUMBER