Provider Demographics
NPI:1144416140
Name:MINH MICHAEL HUYNH, DC
Entity Type:Organization
Organization Name:MINH MICHAEL HUYNH, DC
Other - Org Name:INJURY & PAIN CLINIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MINH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-303-0300
Mailing Address - Street 1:787 E PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-4408
Mailing Address - Country:US
Mailing Address - Phone:817-303-0300
Mailing Address - Fax:817-303-0311
Practice Address - Street 1:787 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4408
Practice Address - Country:US
Practice Address - Phone:817-303-0300
Practice Address - Fax:817-303-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU72172Medicare UPIN
TX609136Medicare PIN