Provider Demographics
NPI:1730542614
Name:NGUYEN, THUY-VAN (RDH)
Entity type:Individual
Prefix:MRS
First Name:THUY-VAN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6934 STONEYVALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-0118
Mailing Address - Country:US
Mailing Address - Phone:832-867-9719
Mailing Address - Fax:
Practice Address - Street 1:1200 TEXAS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3505
Practice Address - Country:US
Practice Address - Phone:713-221-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11484124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist