Individual
JASON NGOC LAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6501 S FRY RD, STE 100B, KATY, TX 77494-3376
(281) 392-5033
Mailing address
6501 S FRY RD, STE 100-B, KATY, TX 77494-3376
(281) 991-3937
(281) 991-6836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7413TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7413TG
OPTOMETRY LICENSE
TX
Enumeration date
01/19/2011
Last updated
03/04/2021
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