Provider Demographics
NPI:1548554355
Name:CHAU NGUYEN MD, PA
Entity type:Organization
Organization Name:CHAU NGUYEN MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-266-3343
Mailing Address - Street 1:7111 HARWIN
Mailing Address - Street 2:STE. #201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2131
Mailing Address - Country:US
Mailing Address - Phone:713-266-3343
Mailing Address - Fax:713-266-0724
Practice Address - Street 1:7111 HARWIN
Practice Address - Street 2:STE. #201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2131
Practice Address - Country:US
Practice Address - Phone:713-266-3343
Practice Address - Fax:713-266-0724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1585207QA0000X, 207QA0505X, 207QG0300X, 208D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent MedicineGroup - Multi-Specialty
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXE99988OtherUPIN
TX0038ASOtherMEDICARE
TXK1585OtherLICENSE