Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G5431 | TX |
N | 207VG0400X | Gynecologist | G5431 | TX |
NPI | 1093749400 |
---|---|
Provider Name | Tom T Nguyen |
First Address | Sugar Land, TX 77478-4626 |
Second Address | Sugar Land, TX 77478-4625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 26/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
122884301 | (05) | TX |
C19870 | (02) | TX |