Look up the most recent NPI and PECOS records

Phuong-Dung Julie Nguyen

Internal Medicine

Allopathic & Osteopathic Physicians

6560 Fannin Street, Suite #1228, Houston, TX 77030

PECOS Enrollment

This provider is enrolled in PECOS as PHUONGDUNG NGUYEN.

Based on the most recent information from CMS, provider Phuong-Dung Julie Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1962486878
Provider Type
Individual
Full Name
Nguyen, Phuong-Dung Julie
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2005
Last Updated
3/3/2022

Contact Information

Practice Location

6560 Fannin Street, Suite #1228, Houston, TX 77030

(713) 979-1190

(713) 979-1197

Mailing Location

P. O. Box 4346 Dept # 114, Houston, TX 77210-4346

(713) 979-1190

(713) 979-1197

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License H8290 Texas

Provider Identifiers

ID	Description	Issuer
ID 135626311	Description Medicaid	Issuer Unlisted Texas
ID P00328597	Description Other	Issuer RAILROAD MEDICARE INDIV # Texas

Phuong-Dung Julie Nguyen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Faiz, Saadia

Alapat, Philip

Lin, Julie

Zahiruddin, Faisal Nomaan

Pandit, Lavannya M

Casal, Roberto Fernando

Mathew, Reeba

Sasieta, Humberto Carlos

Hanania, Nicola

Alexander N Stadnyk Md