Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 7747TG | TX |
NPI | 1013205491 |
---|---|
Provider Name | Dr. Khoi-Nguyen Dinh Nguyen |
First Address | Sugar Land, TX 77478-3966 |
Second Address | Galveston, TX 77551-9001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2011 |
Last Update Date | 27/10/2011 |