Provider Demographics
NPI:1699951038
Name:PHU HUU NGUYEN PHARM D PLLC
Entity type:Organization
Organization Name:PHU HUU NGUYEN PHARM D PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:932-398-4621
Mailing Address - Street 1:2802 GARTH RD
Mailing Address - Street 2:STE 116
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076
Mailing Address - Country:US
Mailing Address - Phone:281-428-4705
Mailing Address - Fax:281-428-4702
Practice Address - Street 1:150 W PARKER RD
Practice Address - Street 2:STE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2951
Practice Address - Country:US
Practice Address - Phone:281-428-4705
Practice Address - Fax:281-428-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX258443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4547177OtherNCPDP PROVIDER IDENTIFICATION NUMBER