Provider Demographics
NPI:1932238821
Name:NGUYEN, TUAN ANH NGOC (MD)
Entity type:Individual
Prefix:
First Name:TUAN ANH
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5704 S GESSNER RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1672
Mailing Address - Country:US
Mailing Address - Phone:713-270-8818
Mailing Address - Fax:713-270-8838
Practice Address - Street 1:5704 S GESSNER RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1672
Practice Address - Country:US
Practice Address - Phone:713-270-8818
Practice Address - Fax:713-270-8838
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4794207Q00000X, 207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program