Individual provider Active NPI

Quan Bao Nguyen, M.D

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1871876169
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N8697 Issued in TX
Practice address
2111 Holly Hall St Apt 1812
Houston, TX 77054-3953
Phone
(916) 346-8673
NPI assigned
Sep 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N8697 TX Primary

Addresses

Primary practice location

2111 Holly Hall St Apt 1812
Houston, TX 77054-3953

Mailing address

2111 Holly Hall St Apt 1812
Houston, TX 77054-3953
Phone (916) 346-8673

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120523000142 TX Practitioner - Emergency Medicine 2062675473 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Memorial Hermann Hospital Based Physician Group Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
USA Emergency Centers - Clear Lake, LLC Past Accepting new patients

Locations

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

2555 Gulf Fwy S
#C1100
League City, TX 77573

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
#C
Shenandoah, TX 77380

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1871876169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 HOLLY HALL ST APT 1812",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543953",
            "telephone_number": "916-346-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 HOLLY HALL ST APT 1812",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543953",
            "telephone_number": "916-346-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUAN",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-22",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N8697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.