Provider Demographics
NPI:1033205224
Name:TRINH, QUYEN (DO)
Entity Type:Individual
Prefix:
First Name:QUYEN
Middle Name:
Last Name:TRINH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21770 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2513
Mailing Address - Country:US
Mailing Address - Phone:281-646-0740
Mailing Address - Fax:281-646-0743
Practice Address - Street 1:21770 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2513
Practice Address - Country:US
Practice Address - Phone:281-646-0740
Practice Address - Fax:281-646-0743
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1224207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130856101Medicaid
TX140922901Medicaid
TX140927801Medicaid
TX140927801Medicaid
TX8266M9Medicare PIN
TXTXB109969Medicare PIN