Individual
DR. THUYEN TRUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6565 FANNIN ST, FONDREN 1003, HOUSTON, TX 77030-2703
(713) 441-1100
(713) 790-6334
Mailing address
6565 FANNIN ST, FONDREN 1003, HOUSTON, TX 77030-2703
(713) 441-1100
(713) 790-6334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0016939
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
M6801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190817001
—
TX
05
—
190817005
—
TX
01
—
8CR018
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
8W4775
BLUE CROSS BLUE SHIELD
TX
01
—
P00628870
MEDICARE RAILROAD
TX
Enumeration date
06/15/2007
Last updated
07/31/2012
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