Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 11717 | TX |
NPI | 1033417100 |
---|---|
Provider Name | Dr. Thien Duc Dinh |
First Address | Sunnyvale, TX 75182-9385 |
Second Address | Sunnyvale, TX 75182-9385 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2011 |
Last Update Date | 04/10/2019 |