Individual
DR. THY PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(832) 325-7080
(713) 512-2239
Mailing address
6431 FANNIN ST, MSB, 6.134A, HOUSTON, TX 77030
(713) 500-7829
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
N4620
TX
2084N0600X
Clinical Neurophysiology Physician
Primary
N4620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288870301
—
TX
01
—
288870302
CSHCN
TX
01
—
8DB669
BCBS
TX
01
—
TXB145304
MEDICARE
TX
Enumeration date
10/10/2008
Last updated
03/29/2018
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