Individual
KY Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10401 ANDERSON MILL RD STE 110B, AUSTIN, TX 78750-2579
(512) 250-5571
(512) 406-7300
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10915R
LA
208000000X
Pediatrics Physician
Primary
M8212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196285401
—
TX
05
—
196285402
—
TX
05
—
196285403
—
TX
05
—
196285404
—
TX
05
—
199517
—
LA
Enumeration date
07/15/2006
Last updated
04/01/2021
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