Individual
HAI HOANG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1702 US HIGHWAY 181 STE A3, PORTLAND, TX 78374-3855
(832) 419-0773
Mailing address
336 LONG POINTE DR, PORTLAND, TX 78374-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7574TG
TX
Other
Enumeration date
07/21/2010
Last updated
09/23/2014
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