TOM HIEU NGUYEN

JBSA LACKLAND, TX
NPI1124763826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: TX  38763)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: TX  38763)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-28
Last Update Date2023-08-10
Business Address
TOM HIEU NGUYEN
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236-5313
Phone number: 469-263-7901
Mailing Address
TOM HIEU NGUYEN
1100 WILFORD HALL LOOP BLDG 4554
JBSA LACKLAND, TX 78236-5638
Phone number: 469-263-7901