Provider Demographics
NPI:1053362871
Name:NGUYEN, HOA THI (OD)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1830 S MASON RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3240
Mailing Address - Country:US
Mailing Address - Phone:281-395-0049
Mailing Address - Fax:281-395-0054
Practice Address - Street 1:1830 S MASON RD
Practice Address - Street 2:SUITE 130
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3240
Practice Address - Country:US
Practice Address - Phone:281-395-0049
Practice Address - Fax:281-395-0054
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6605 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F3734Medicare PIN