# GREEN TRAILS FAMILY PRACTICE, P.A.

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

## Provider details

- **NPI number:** 1124443023
- **Authorized official:** DR. THOMAS THANG NGUYEN M.D. (PRESIDENT)
- **Authorized official phone:** (281) 492-8400

## Contact information

- **Practice address:** 18400 KATY FWY, SUITE 405, HOUSTON, TX 77094-1286
- **Practice address phone:** (281) 492-8400
- **Practice address fax:** (281) 492-7774
- **Mailing address:** 18400 KATY FWY, SUITE 405, HOUSTON, TX 77094-1286
- **Mailing address phone:** (281) 492-8400
- **Mailing address fax:** (281) 492-7774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 207Q00000X | TX | Yes |

## Other

- **Enumeration date:** 02/28/2014
- **Last updated:** 02/28/2014