Lisa My Phung Nguyen, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

V0077 Issued in TX

Practice address

2200 Roy Richard Dr
Schertz, TX 78154-2723

Phone

(210) 566-4777

Fax

(210) 566-4779

NPI assigned

Apr 23, 2021

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Topcare Medical Group Inc

  dba Clinicas Mi Doctor

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD (past)

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1598347189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ROY SMITH ST APT 1503",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151359",
            "telephone_number": "954-235-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ROY RICHARD DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542723",
            "telephone_number": "210-566-4777",
            "fax_number": "210-566-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LISA",
        "middle_name": "MY PHUNG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO4856",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V0077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Haven Assisted Living and Memory Care
• New Way Medical Supply LLC
• Next Phase Behavioral Solutions
• Hailey Nhung Nguyen, AG-CNS
• Hue Thi Nguyen
• Chelsea Nichols, PA-C, MSPAS
• Nielsen Vision Development Center, LLC
• Saraphina Victoria Wanjiku Njoroge, LCSW
• Jeanne Louise Nobriga
• Jeanna Alyssa Noriega

• Pediatrics Physician in Schertz, TX
• Providers in Schertz, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.