Organization
CARNIVORE REGEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE NGUYEN MD (OWNER)
(346) 220-8063
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER PKWY STE 100, HUNTSVILLE, TX 77340-4959
(346) 220-8063
Mailing address
18723 DUKE LAKE DR, SPRING, TX 77388-2007
(346) 220-8063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Enumeration date
12/13/2022
Last updated
04/01/2024
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