NPIMap

Organization Active NPI

Tue Duc Nguyen MD PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1083015143
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G1972 Issued in TX
Legal business name
TUE DUC NGUYEN MD PA
Practice address
6219 Irvington Blvd
Suite a
Houston, TX 77022-5951
Phone
(832) 380-2580
Fax
(832) 380-2583
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tue Duc Nguyen, MD
Title
Director
Phone
(832) 380-2580

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X G1972 TX
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X G1972 TX Primary

Addresses

Primary practice location

6219 Irvington Blvd
Suite a
Houston, TX 77022-5951

Mailing address

6219 Irvington Blvd
Suite a
Houston, TX 77022-5951
Phone (832) 380-2580

Other identifiers 1

IdentifierTypeStateIssuer
G1972OtherTXTEXAS MEDICAL LICENSE

Other names 1

  • Northside Primary Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

615 North Loop E
Ste 100A
Houston, TX 77022

615 North Loop E
Ste 200
Houston, TX 77022
Phone (713) 697-6881

615 North Loop E
Ste 100
Houston, TX 77022
Phone (832) 380-2580

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1083015143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6219 IRVINGTON BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225951",
            "telephone_number": "832-380-2580",
            "fax_number": "832-380-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6219 IRVINGTON BLVD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225951",
            "telephone_number": "832-380-2580",
            "fax_number": "832-380-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUE DUC NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUE",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-380-2580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G1972",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "G1972",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Primary Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.