Provider Demographics
NPI:1083653604
Name:HUYNH, WHITNEY MINH (OD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:MINH
Last Name:HUYNH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 UNIVERSITY PARK LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6586
Mailing Address - Country:US
Mailing Address - Phone:469-831-4123
Mailing Address - Fax:
Practice Address - Street 1:2351 W LAMAR BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-5669
Practice Address - Country:US
Practice Address - Phone:817-861-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6510152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist