Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | M2730 | TX |
N | 111NI0900X | Internist | M2730 | TX |
Y | 207RC0000X | Internist - Cardiovascular Disease | M2730 | TX |
NPI | 1003825035 |
---|---|
Provider Name | Christopher V Nguyen |
First Address | Houston, TX 77210-4248 |
Second Address | The Woodlands, TX 77384-4167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 15/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0A3907 | (02) | TX |