Individual
CHARLES L. NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2626 S LOOP W STE 265, HOUSTON, TX 77054-5636
(713) 796-9955
Mailing address
2626 S LOOP W STE 265, HOUSTON, TX 77054-5636
(713) 796-9955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS016027
PA
207R00000X
Internal Medicine Physician
Primary
Q3746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240710YKMP
MEDICARE
TX
01
—
346176601
MEDICAID
TX
01
—
3462588
UNITED HC
TX
01
—
6842933
CIGNA
TX
01
—
8FB984
BCBS TX
TX
01
—
9254841
AETNA
TX
01
—
P01494090
MEDICARE RR
TX
Enumeration date
08/03/2009
Last updated
05/05/2022
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