1740626779 NPI number — HANG TUYET NGUYEN OD BAYTOWN PC

Table of content: JAMES CHARLES MCGEORGE MD (NPI 1477513513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740626779 NPI number — HANG TUYET NGUYEN OD BAYTOWN PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANG TUYET NGUYEN OD BAYTOWN PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1740626779
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6502 GARTH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYTOWN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77521-9888
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-421-9542
Provider Business Mailing Address Fax Number:
281-421-9543

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6502 GARTH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAYTOWN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77521-9888
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-421-9542
Provider Business Practice Location Address Fax Number:
281-421-9543
Provider Enumeration Date:
05/16/2013

Additional Information

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
HANG
Authorized Official Middle Name:
T.
Authorized Official Title or Position:
OWNER/OD
Authorized Official Telephone Number:
281-421-9542

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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