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Individual

HUNG TIEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
N.P

Contact information

Practice address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0006
Mailing address
6550 FANNIN ST, SUITE 1101, HOUSTON, TX 77030-2717
(713) 441-0006

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
712936
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467750026
BLUE CROSS BLUE SHIELD
TX
05
281672001
TX
05
281672002
TX
01
P01031008
RR MEDICARE
TX
Enumeration date
03/07/2011
Last updated
06/13/2012
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