Active NPI
Mimi Nguyen, DO
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1780114074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- W2761
- Practice address
- 13114 FM 1960 Rd W Ste 120
Houston, TX 77065-4296 - Phone
- (281) 890-6446
- NPI assigned
- Jun 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | W2761 | TX | Primary |
| Family Medicine Physician | 207Q00000X | 324261 | LA |
Addresses
Primary practice location
13114 FM 1960 Rd W Ste 120
Houston, TX 77065-4296
Mailing address
930 Frostwood Dr Ste 2.200
Houston, TX 77024-2450
Other practice location 1
1665 S Green St
Tupelo, MS 38804-6556
Phone (662) 377-2189
Other practice location 2
4212 W Congress St Ste 1600
Lafayette, LA 70506-6767
Phone (337) 456-1642
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13114 FM 1960 Rd W
Suite 120
Houston, TX 77065-4296
Phone (281) 890-6446
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Memorial Hermann Memorial City Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W2761 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Family Medicine | Current | Accepting new patients |
| Lafayette Health Ventures Inc | Family Medicine | Current | Accepting new patients |
Locations
930 Frostwood Dr
Ste 2200
Houston, TX 77024
13114 FM 1960 Rd W
Ste 120
Houston, TX 77065
Phone (281) 890-6446
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1780114074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 FROSTWOOD DR STE 2.200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13114 FM 1960 RD W STE 120",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770654296",
"telephone_number": "281-890-6446"
}
],
"practiceLocations": [
{
"address_1": "1665 S Green St",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388046556",
"country_code": "US",
"telephone_number": "662-377-2189",
"fax_number": "662-377-2667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4212 W Congress St Ste 1600",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705066767",
"country_code": "US",
"telephone_number": "337-456-1642",
"fax_number": "337-456-4913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MIMI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "W2761",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "324261",
"primary": false
}
],
"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 Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.