Provider Demographics
NPI:1972183770
Name:NGUYEN WELLNESS & RECOVERY
Entity type:Organization
Organization Name:NGUYEN WELLNESS & RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:HUNG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:469-982-3328
Mailing Address - Street 1:1901 POST OAK PARK DR APT 10104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3363
Mailing Address - Country:US
Mailing Address - Phone:469-982-3328
Mailing Address - Fax:
Practice Address - Street 1:2060 NORTH LOOP W STE 115
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8156
Practice Address - Country:US
Practice Address - Phone:469-982-3328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty