Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | J0010 | TX |
NPI | 1255365698 |
---|---|
Provider Name | Triet Quang Huynh |
First Address | Houston, TX 77289-0021 |
Second Address | Pasadena, TX 77505-3094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 01/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F40987 | (02) | TX |