Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP143641 | TX |
NPI | 1003454653 |
---|---|
Provider Name | Hanh Tuyet Thi Nguyen |
First Address | Houston, TX 77054-6010 |
Second Address | Houston, TX 77072-5242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2019 |
Last Update Date | 01/10/2021 |