Provider Demographics
NPI:1932085792
Name:NGUYEN, HOA VINH THAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:VINH THAI
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25108 MARKET PLACE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4430
Mailing Address - Country:US
Mailing Address - Phone:281-644-6412
Mailing Address - Fax:281-644-6415
Practice Address - Street 1:25108 MARKET PLACE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4430
Practice Address - Country:US
Practice Address - Phone:281-644-6412
Practice Address - Fax:281-644-6415
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist