Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 22999 | TX |
NPI | 1720263460 |
---|---|
Provider Name | Dr. Christine N Nguyen |
First Address | Austin, TX 78702-5240 |
Second Address | Austin, TX 78702-5240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2007 |
Last Update Date | 10/03/2017 |