Provider Demographics
NPI:1083835672
Name:HUYNH, VI G (DMD)
Entity Type:Individual
Prefix:DR
First Name:VI
Middle Name:G
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 WEST ROAD, #151
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064
Mailing Address - Country:US
Mailing Address - Phone:281-894-7210
Mailing Address - Fax:281-894-7215
Practice Address - Street 1:9211 WEST ROAD, #151
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:281-894-7210
Practice Address - Fax:281-894-7215
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB2117902OtherTEXAS CHIP PROGRAM
TX159982101Medicaid