Most Relevant Information
Provider Data
| NPI Number: | 1003306796 |
| Provider Name: | THIEN-BAO PETER NGUYEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2018 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
2525A HOLLY HALL ST
HOUSTON
TX
770544124
Practice Location Phone/Fax
| Phone: | 7135264243 |
| Fax: |
Provider Mailing Location
7200 CAMBRIDGE ST
A10-187, MAIL STOP BCM-903
HOUSTON
TX
77030
Provider Mailing Phone/Fax
| Phone: | 7137983802 |
| Fax: | 7137980223 |