Basic Information
| Provider Information | |||||||||
| NPI: | 1053486837 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NGUYEN | ||||||||
| FirstName: | VINCENT | ||||||||
| MiddleName: | TRUNG | ||||||||
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| Credential: | RPH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3707 HUNTLAND CT | ||||||||
| Address2: | |||||||||
| City: | KATY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774501012 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813989576 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1350 FIRST COLONY BLVD | ||||||||
| Address2: | |||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774794308 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812763467 | ||||||||
| FaxNumber: | 2812763494 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835X0200X | 33406 | TX | Y | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.