Elizabeth Tien Nguyen, MD | |
3121 University Dr E Ste 100, Bryan, TX 77802-3499 | |
(799) 776-0169 | |
(799) 776-1342 |
Full Name | Elizabeth Tien Nguyen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3121 University Dr E Ste 100, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295265593 | NPI | - | NPPES |
2J4411 | Other | TX | MEDICARE PTAN |
105940200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME144828 (Florida) | Secondary |
208000000X | Pediatrics | T9197 (Texas) | Primary |
Entity Name | Texas A&m University System Health Science Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063699312 PECOS PAC ID: 8224008644 Enrollment ID: O20040802001578 |
Entity Name | Brazos Valley Physicians Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326495508 PECOS PAC ID: 1052604006 Enrollment ID: O20160728000249 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Tien Nguyen, MD 8441 State Hwy 47, Ste 3115, Bryan, TX 77807 Ph: (979) 436-9703 | Elizabeth Tien Nguyen, MD 3121 University Dr E Ste 100, Bryan, TX 77802-3499 Ph: (799) 776-0169 |
Dr. Damyanti S Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201a Briarcrest Dr, Bryan, TX 77802 Phone: 979-776-9400 Fax: 979-774-8903 | |
Dr. Daniel D. Quigley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3370 S Texas Ave, Suite B, Bryan, TX 77802 Phone: 979-595-1700 Fax: 979-595-1740 | |
Dr. Mark S. Sicilio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 E 29th St Ste 200, Bryan, TX 77802 Phone: 979-776-8440 Fax: 877-601-5854 | |
Amanda Michelle Burdett-cruz, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5137 Old Spanish Trl, Bryan, TX 77807 Phone: 979-676-2697 | |
Dr. Kimberly Iero Buenger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Memorial Dr, Bryan, TX 77802 Phone: 979-731-4520 Fax: 979-596-5853 | |
Graciela Beatriz Villadoniga, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2901 E 29th St Ste 123, Bryan, TX 77802 Phone: 979-776-9400 Fax: 979-774-8903 |