Provider Demographics
NPI:1083710271
Name:DINH, TRUNG D (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUNG
Middle Name:D
Last Name:DINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15201 MASON RD
Mailing Address - Street 2:#1200
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5954
Mailing Address - Country:US
Mailing Address - Phone:281-373-0162
Mailing Address - Fax:281-373-0765
Practice Address - Street 1:15201 MASON RD
Practice Address - Street 2:#1200
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5954
Practice Address - Country:US
Practice Address - Phone:281-373-0162
Practice Address - Fax:281-373-0765
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1835207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144419203Medicaid
TX144419203Medicaid
TX8C0514Medicare PIN