Individual
BENNY NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
7508 WATERCREST RD, CHARLOTTE, NC 28210-6664
(980) 297-0641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16674
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2022
Last updated
05/02/2023
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