Provider Demographics
NPI:1902530439
Name:ADVANCED ENT AND ALLERGY
Entity Type:Organization
Organization Name:ADVANCED ENT AND ALLERGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:NINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-731-4443
Mailing Address - Street 1:PO BOX 1575
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-1575
Mailing Address - Country:US
Mailing Address - Phone:832-604-3636
Mailing Address - Fax:
Practice Address - Street 1:11307 FM 1960 RD W STE 260
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5636
Practice Address - Country:US
Practice Address - Phone:832-604-3636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty