Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.095287 | OH |
N | 207Q00000X | Family Doctor | P3352 | TX |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35095287 | OH |
N | 207QS0010X | Family Doctor - Sports Medicine | P3352 | TX |
NPI | 1881892941 |
---|---|
Provider Name | Dr. Phuong N. Huynh |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43203-1278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 16/11/2020 |