Provider Demographics
NPI:1902129430
Name:NGUYEN, MY-LINH AI (MD)
Entity type:Individual
Prefix:DR
First Name:MY-LINH
Middle Name:AI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 4356
Mailing Address - Street 2:DEPARTMENT 667
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4356
Mailing Address - Country:US
Mailing Address - Phone:281-586-3888
Mailing Address - Fax:281-440-2028
Practice Address - Street 1:837 FM 1960 WEST
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-0000
Practice Address - Country:US
Practice Address - Phone:281-586-3888
Practice Address - Fax:281-440-2020
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2011-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB129207Medicare PIN
TXF92414Medicare UPIN