1932185006 NPI number — MAIPHUONG K HUYNH D.O.

Table of content: MAIPHUONG K HUYNH D.O. (NPI 1932185006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932185006 NPI number — MAIPHUONG K HUYNH D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUYNH
Provider First Name:
MAIPHUONG
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932185006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14835 ELIZABETH BAY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CYPRESS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77429-5279
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-773-6895
Provider Business Mailing Address Fax Number:
281-573-8891

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14835 ELIZABETH BAY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CYPRESS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77429-5279
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-773-6895
Provider Business Practice Location Address Fax Number:
281-573-8891
Provider Enumeration Date:
12/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  M1158 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 176152007 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00251015 . This is a "RAILROAD MCARE PROV NO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: P00321825 . This is a "RAILROAD MCARE PROV NO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 176152003 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 176152002 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 176152006 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 176152001 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8P5091 . This is a "BCBSTX PROV NO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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