Provider Demographics
NPI:1982602702
Name:NGUYEN, WENDY T (MD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:T
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:19114 US HWY 281 N
Mailing Address - Street 2:STE 202
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4386
Mailing Address - Country:US
Mailing Address - Phone:210-496-7999
Mailing Address - Fax:210-494-1666
Practice Address - Street 1:19114 US HWY 281 N
Practice Address - Street 2:STE 202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4386
Practice Address - Country:US
Practice Address - Phone:210-496-7999
Practice Address - Fax:210-494-1666
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F65821Medicare UPIN
8A2891Medicare ID - Type Unspecified