Individual
TRUNG DIEN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP134994
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP134994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393208901
—
TX
01
—
393208902
MEDICAID-CHSCN
TX
01
—
8KJ993
BCBS
TX
Enumeration date
11/03/2017
Last updated
01/05/2021
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