Provider Demographics
NPI:1003845462
Name:HUYNH, MINH MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:MINH
Middle Name:MICHAEL
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 E PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4408
Mailing Address - Country:US
Mailing Address - Phone:817-303-0300
Mailing Address - Fax:817-303-0311
Practice Address - Street 1:787 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4408
Practice Address - Country:US
Practice Address - Phone:817-303-0300
Practice Address - Fax:817-303-0311
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU72172Medicare UPIN
TX609136Medicare ID - Type Unspecified