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Individual

CHANH M NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
508 MEDICAL CENTER BLVD, STE 200, CONROE, TX 77304-2808
(936) 760-4600
(936) 760-4601
Mailing address
1120 N LOOP 336 W # S, CONROE, TX 77301-1156
(346) 646-4220
(713) 910-6995

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M9540
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00J21A
GROUP MEDICARE NUMBER
TX
01
1932366135
NPI
Enumeration date
05/16/2008
Last updated
06/24/2025
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