Provider Demographics
NPI:1609197995
Name:NGUYEN, TUYET-ANH THI (MD)
Entity type:Individual
Prefix:
First Name:TUYET-ANH
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANH
Other - Middle Name:TUYET
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2377 N STEMMONS FWY STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-2710
Mailing Address - Country:US
Mailing Address - Phone:214-819-2129
Mailing Address - Fax:214-819-6057
Practice Address - Street 1:2377 N STEMMONS FWY STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2710
Practice Address - Country:US
Practice Address - Phone:631-444-3902
Practice Address - Fax:631-444-7525
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP39432083P0901X, 2083T0002X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology