Provider Demographics
NPI:1033288568
Name:HUYNH, XUAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:XUAN
Middle Name:
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8740 NORTH LAMAR BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5440
Mailing Address - Country:US
Mailing Address - Phone:512-835-7725
Mailing Address - Fax:512-835-2840
Practice Address - Street 1:8740 NORTH LAMAR BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5440
Practice Address - Country:US
Practice Address - Phone:512-835-7725
Practice Address - Fax:512-835-2840
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15171122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist