Provider Demographics
NPI:1972611390
Name:NGUYEN, HONG DIEM (DC)
Entity type:Individual
Prefix:DR
First Name:HONG
Middle Name:DIEM
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5713 BISSONNET ST
Mailing Address - Street 2:STE C
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4726
Mailing Address - Country:US
Mailing Address - Phone:713-664-0110
Mailing Address - Fax:713-664-0941
Practice Address - Street 1:5713 BISSONNET ST
Practice Address - Street 2:STE C
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4726
Practice Address - Country:US
Practice Address - Phone:713-664-0110
Practice Address - Fax:713-664-0941
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9323111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX94134Medicare UPIN