Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G9885 | TX |
NPI | 1093828667 |
---|---|
Provider Name | Dr. Cuong Xuan Nguyen |
First Address | Houston, TX 77099-2037 |
Second Address | Houston, TX 77099-2037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 11/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139210216 | (05) | TX |
A67445 | (02) |