Provider Demographics
NPI:1962438333
Name:NGUYEN, THUY-VAN THI (NP-C)
Entity type:Individual
Prefix:
First Name:THUY-VAN
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11417 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-2601
Mailing Address - Country:US
Mailing Address - Phone:713-955-3919
Mailing Address - Fax:
Practice Address - Street 1:11417 VETERANS MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067
Practice Address - Country:US
Practice Address - Phone:713-955-3919
Practice Address - Fax:713-673-8016
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP125304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily