Provider Demographics
NPI:1972915668
Name:NGUYEN, TRAN HOANG (DO)
Entity type:Individual
Prefix:
First Name:TRAN
Middle Name:HOANG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:4337 TERAVISTA CLUB DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1647
Mailing Address - Country:US
Mailing Address - Phone:122-447-2005
Mailing Address - Fax:512-868-3907
Practice Address - Street 1:4337 TERAVISTA CLUB DR STE 100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1647
Practice Address - Country:US
Practice Address - Phone:512-244-7200
Practice Address - Fax:512-868-3907
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69142-21207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology