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    16736 CHAMPION FOREST DR.

    SPRING, TX 77379

    OFFICE: (832) 559-7950
    FAX: (832) 698-2279
    CELL: (832) 746-1351
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    COMPREHENSIVE MEDICAL CARE

    FOR MEN, WOMEN, AND CHILD
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    DR. HAC NGUYEN MD

    Board Certified

    Family Practice

    Physician

    Hac Nguyen Family Practice

    16736 Champion Forest Dr, Spring, TX 77379

    For Life-Threatening Emergencies Call 911

    © 2016 20SixMedia

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    NEW PATIENT FORMS

    Fax or email us ALL forms in Package A and B plus front and back copies of your insurance card before your appointment. This will help speed up your check-in time.

    Fax (832)698-2279 or email info@hacnguyenmd.com
     

    PLEASE CLICK AND DOWNLOAD PACKET A AND PACKET B FORMS BELOW

    AND FILL OUT

    NEW PATIENT FORM PACKET A
    NEW PATIENT FORM PACKET B