Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | N1018 | TX |
NPI | 1003061003 |
---|---|
Provider Name | Loc Tien Nguyen |
First Address | Houston, TX 77095-3065 |
Second Address | Houston, TX 77095-3065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2008 |
Last Update Date | 04/12/2008 |