Provider Demographics
NPI:1346343779
Name:TRINH, TIEN ADRIAN (DC)
Entity Type:Individual
Prefix:MR
First Name:TIEN
Middle Name:ADRIAN
Last Name:TRINH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W ARBROOK BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4316
Mailing Address - Country:US
Mailing Address - Phone:817-987-4150
Mailing Address - Fax:817-987-4151
Practice Address - Street 1:3612 MATLOCK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3680
Practice Address - Country:US
Practice Address - Phone:817-987-4150
Practice Address - Fax:817-987-4151
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R9730OtherBCBS
8A7619Medicare ID - Type Unspecified
X91409Medicare UPIN