1376569582 NPI number — HAYLEY NGUYEN M.D.

Table of content: HAYLEY NGUYEN M.D. (NPI 1376569582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376569582 NPI number — HAYLEY NGUYEN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
HAYLEY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376569582
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5151 KATY FWY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77007-2260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-461-4101
Provider Business Mailing Address Fax Number:
713-864-5355

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5151 KATY FWY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77007-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-461-4101
Provider Business Practice Location Address Fax Number:
713-864-5355
Provider Enumeration Date:
07/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  M0197 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00002543047 02 . This is a "UNITED HEALTHCARE ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 11483636 . This is a "CAQH ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 3633943002 . This is a "CIGNA PCP ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0062MT . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 7694707 . This is a "AETNA PROVIDER ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0159160655 . This is a "PACIFICARE ENROLLMENT ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 9391387 . This is a "PHCS PCP ID#" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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