Individual
DR. KIM NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1800 1ST ST, ROSENBERG, TX 77471-4343
(281) 232-3888
(281) 232-3810
Mailing address
1800 1ST ST, ROSENBERG, TX 77471-4343
(281) 232-3888
(281) 232-3810
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1805
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072QR
BLUE CROSS AND BLUE SHIELD
TX
01
—
P00648921
RAILROAD MEDICARE
TX
Enumeration date
01/26/2007
Last updated
10/09/2009
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