Individual
DR. KIM-DAN PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17202 CLAY RD, SUITE 102, HOUSTON, TX 77084-4291
(281) 886-7063
Mailing address
17202 CLAY RD, HOUSTON, TX 77084-4291
(281) 886-7063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8429T
TX
Other
Enumeration date
07/15/2014
Last updated
06/05/2015
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