Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | M1976 | TX |
Y | 111NI0900X | Internist | M1976 | TX |
NPI | 1003803974 |
---|---|
Provider Name | Khanh Pc Nguyen |
First Address | Houston, TX 77070 |
Second Address | Houston, TX 77070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
176943201 | (05) | TX |
176943202 | (05) | TX |