# CARNIVORE REGEN MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003527789
- **Authorized official:** LAWRENCE NGUYEN MD (OWNER)
- **Authorized official phone:** (346) 220-8063

## Contact information

- **Practice address:** 100 MEDICAL CENTER PKWY STE 100, HUNTSVILLE, TX 77340-4959
- **Practice address phone:** (346) 220-8063
- **Mailing address:** 18723 DUKE LAKE DR, SPRING, TX 77388-2007
- **Mailing address phone:** (346) 220-8063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | NULL | — |
| 363LA2100X | Acute Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/13/2022
- **Last updated:** 04/01/2024