Individual provider Active NPI

Lan Nguyen, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1326392374
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA09175 Issued in TX
Practice address
13125 East Fwy
Houston, TX 77015-5803
Phone
(713) 453-8328
Fax
(713) 453-6251
NPI assigned
Oct 30, 2012
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA055864 PA
Medical Physician Assistant 363AM0700X PA09175 TX Primary

Addresses

Primary practice location

13125 East Fwy
Houston, TX 77015-5803

Mailing address

14515 Briar Forest Dr
Houston, TX 77077-2064
Phone (717) 880-2929

Other names 1

  • Tuyetlan Thi Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129000284 TX Practitioner - Physician Assistant 8426202037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

1227 Museum Square Dr
Sugar Land, TX 77479-4629
Phone (281) 265-8125

20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

5102 FM 1463 Rd
Katy, TX 77494-7870
Phone (281) 574-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055864PAMDSurgical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1326392374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 BRIAR FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772064",
            "telephone_number": "717-880-2929",
            "fax_number": "713-453-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13125 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155803",
            "telephone_number": "713-453-8328",
            "fax_number": "713-453-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-30",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA055864",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUYETLAN",
            "last_name": "NGUYEN",
            "middle_name": "THI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.