Organization Active NPI

Dr. John J. Nguyen, D.O. P.a.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1104192673
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6127 Issued in TX
Legal business name
DR. JOHN J. NGUYEN, D.O. P.A.
Practice address
12606 W Houston Center Blvd Ste 170
Houston, TX 77082-2786
Phone
(281) 495-7534
Fax
(281) 575-1442
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. John James Nguyen, D.O., P.A.
Title
Owner
Phone
(281) 495-7534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X L6127 TX Primary

Addresses

Primary practice location

12606 W Houston Center Blvd Ste 170
Houston, TX 77082-2786

Mailing address

12606 W Houston Center Blvd Ste 170
Houston, TX 77082-2786
Phone (281) 495-7534

Other identifiers 1

IdentifierTypeStateIssuer
161977703MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1104192673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822786",
            "telephone_number": "281-495-7534",
            "fax_number": "281-575-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822786",
            "telephone_number": "281-495-7534",
            "fax_number": "281-575-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN J. NGUYEN, D.O. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-495-7534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161977703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2012; 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.