Organization Active NPI

Huyen Nguyen MD PA

Doing business as Alamo Wellness Alliance

  • Internal Medicine Physician
  • Live Oak, TX
National Provider Identifier
1760671440
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9241 Issued in TX
Legal business name
HUYEN NGUYEN MD PA
Doing business as
Alamo Wellness Alliance
Practice address
12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103
Phone
(210) 599-4086
NPI assigned
Oct 18, 2007
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Huyen Thi Nguyen, M.D.NPI 1629167929
Title
President
Phone
(210) 599-4086

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
Internal Medicine Physician 207R00000X J9241 TX Primary

Addresses

Primary practice location

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103

Mailing address

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103
Phone (210) 599-4086

Other names 1

  • Alamo Wellness Alliance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000495 TX Part B Supplier - Clinic/Group Practice 6406019728 Receives reassigned benefits from 1 practitioner
Practice locations: Live Oak, TX; San Antonio, TX

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, 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": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1760671440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-599-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-599-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUYEN NGUYEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUYEN",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-599-4086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Wellness Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.