Tom Hieu Nguyen

NPI #1124763826 in Jbsa Lackland, Texas

Provider Information

NPI Number: 1124763826
Entity Type: Individual
Name: Tom Hieu Nguyen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Apr 28, 2022
Last Updated: Aug 10, 2023

Practice Location

Address: 2133 PEPPERRELL ST BLDG 3352
City: Jbsa Lackland
State: Texas
ZIP Code: 78236-5313
Phone: (469) 263-7901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	Primary

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