Provider Demographics
NPI:1871124941
Name:NGUYEN, HENRY HUNG (LAC)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:HUNG
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 POST OAK PARK DR APT 10104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3363
Mailing Address - Country:US
Mailing Address - Phone:469-982-3328
Mailing Address - Fax:
Practice Address - Street 1:2001 KATY MILLS BLVD STE I
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4880
Practice Address - Country:US
Practice Address - Phone:832-913-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01873171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist