Organization Active NPI

Tykes to Teens Pediatrics, PA

Doing business as Hanh Nguyen, MD

  • Primary Care Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1487162715
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
K8959 Issued in TX
Legal business name
TYKES TO TEENS PEDIATRICS, PA
Doing business as
Hanh Nguyen, MD
Practice address
17510 W Grand Pkwy S Ste 580
Sugar Land, TX 77479-2649
Phone
(281) 341-9600
Fax
(832) 595-2229
NPI assigned
Jan 22, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Hanh Nguyen, MDNPI 1235224254
Title
President
Phone
(832) 723-6446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X K8959 TX Primary

Addresses

Primary practice location

17510 W Grand Pkwy S Ste 580
Sugar Land, TX 77479-2649

Mailing address

5607 Avon Landing LN
Sugar Land, TX 77479-3550
Phone (832) 723-6446

Other identifiers 1

IdentifierTypeStateIssuer
030251503MedicaidTX

Other names 1

  • Hanh Nguyen, MD Doing business as

National Provider Directory

National Provider Directory

Locations

17510 W Grand Pkwy S
Ste 580
Sugar Land, TX 77479
Phone (281) 341-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1487162715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 AVON LANDING LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793550",
            "telephone_number": "832-723-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 580",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792649",
            "telephone_number": "281-341-9600",
            "fax_number": "832-595-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYKES TO TEENS PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-723-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K8959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030251503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanh Nguyen, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.