Active NPI
Phuong Dinh Nguyen, NP
- Pain Medicine Physician
- Houston, TX
National Provider Identifier
1265033930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 1029237
- Practice address
- 9717 Jones Rd Ste 107
Houston, TX 77065-4303 - Phone
- (713) 568-6095
- Fax
- (713) 965-4091
- NPI assigned
- Nov 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | F01210800 | TX | |
| General Practice Registered Nurse | 163WG0000X | 849550 | TX | |
| Pain Medicine Physician | 208VP0000X | 1029237 | TX | Primary |
Addresses
Primary practice location
9717 Jones Rd Ste 107
Houston, TX 77065-4303
Mailing address
9717 Jones Rd Ste 107
Houston, TX 77065-4303
Phone (713) 568-6095
Other practice location 1
6565 Fannin St
Houston, TX 77030-2703
Phone (281) 836-1279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 849550 | TX | MD | General Practice Registered Nurse |
| 1029237 | TX | MD | Pain Medicine Physician |
| F01210800 | TX | MD | Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1265033930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9717 JONES RD STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654303",
"telephone_number": "713-568-6095",
"fax_number": "713-965-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9717 JONES RD STE 107",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654303",
"telephone_number": "713-568-6095",
"fax_number": "713-965-4091"
}
],
"practiceLocations": [
{
"address_1": "6565 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302703",
"country_code": "US",
"telephone_number": "281-836-1279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "DINH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "F01210800",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "849550",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "1029237",
"primary": true
}
],
"identifiers": [],
"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 Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.