Provider Demographics
NPI:1487983631
Name:NGUYEN, WENDY PHUONG (RPH)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:PHUONG
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W LITTLE YORK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-2422
Mailing Address - Country:US
Mailing Address - Phone:281-448-6364
Mailing Address - Fax:281-448-2401
Practice Address - Street 1:530 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2422
Practice Address - Country:US
Practice Address - Phone:281-448-6364
Practice Address - Fax:281-448-2401
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist