Individual
NAM HOANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q5878
TX
208M00000X
Hospitalist Physician
Primary
2015030837
MO
208M00000X
Hospitalist Physician
Q5878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275880734
—
IA
05
—
1275880734
—
MO
05
—
201125280A
—
KS
01
—
P01547140
RR MEDICARE
MO
Enumeration date
08/14/2012
Last updated
06/17/2024
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