Nguyen, Elizabeth Tien
Nguyen, Elizabeth Tien is an sole proprietor health care provider with primary practice located at 3121 University Dr E Ste 100 , Bryan TX 77802-3499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nguyen, Elizabeth Tien can be contacted via phone (799) 776-0169.Contact Information
Primary practice address
3121 University Dr E Ste 100
Bryan TX 77802-3499
Phone: (799) 776-0169
Fax: (799) 776-1342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME144828 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T9197 | Texas |
Profile Details
| NPI number | 1295265593 |
|---|---|
| LBN Legal business name | Nguyen, Elizabeth Tien |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2017 |
| Last updated | Jun 3rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295265593 | NPPES |
| Texas | Other | 2J4411 | MEDICARE PTAN |
| Texas | MEDICAID | 105940200 | MEDICARE PTAN |
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