Provider Demographics
NPI:1750701710
Name:NGUYEN, NGAN (MD)
Entity type:Individual
Prefix:
First Name:NGAN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NGAN
Other - Middle Name:THUY
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:23920 KATY FWY STE 405
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0805
Mailing Address - Country:US
Mailing Address - Phone:346-297-0777
Mailing Address - Fax:346-299-1797
Practice Address - Street 1:23920 KATY FWY STE 405
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0805
Practice Address - Country:US
Practice Address - Phone:346-297-0777
Practice Address - Fax:346-299-1797
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1876208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery