Individual
LOREN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3624 HIGHWAY 365, NEDERLAND, TX 77627-7835
(409) 724-7700
Mailing address
12525 INTERSTATE 10 E, ORANGE, TX 77630-1347
(409) 724-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4850T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077FA
BLUE CROSS BLUE SHIELD
TX
05
—
038186502
—
TX
Enumeration date
09/12/2006
Last updated
12/21/2009
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