Organization Active NPI

Hac Nguyen, MD - Family Practice, PLLC

  • Primary Care Clinic/Center
  • Spring, TX
National Provider Identifier
1811225766
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J8691 Issued in TX
Legal business name
HAC NGUYEN, MD - FAMILY PRACTICE, PLLC
Practice address
16736 Champion Forest Dr
Spring, TX 77379-7024
Phone
(832) 816-6781
NPI assigned
Dec 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

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

Authorized official

Name
Dr. Hac Hong Nguyen, MDNPI 1447281829
Title
Director
Phone
(832) 816-6781

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 J8691 TX Primary

Addresses

Primary practice location

16736 Champion Forest Dr
Spring, TX 77379-7024

Mailing address

16736 Champion Forest Dr
Spring, TX 77379-7024
Phone (832) 816-6781

Other identifiers 1

IdentifierTypeStateIssuer
P084261J0MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000599 TX Part B Supplier - Clinic/Group Practice 6305988338 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2004811Hac Nguyen MD Family Practice PLLC16736 Champion Forest Dr, Spring, TX 77379Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

16736 Champion Forest Dr
Spring, TX 77379
Phone (281) 376-1188

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1811225766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16736 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797024",
            "telephone_number": "832-816-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16736 CHAMPION FOREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797024",
            "telephone_number": "832-816-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC NGUYEN, MD - FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HAC",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-816-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J8691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P084261J0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.