Provider Demographics
NPI:1346966132
Name:TRUONG, LINH (PA)
Entity Type:Individual
Prefix:MS
First Name:LINH
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 PRESTON PARK BLVD STE 1850
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3633
Mailing Address - Country:US
Mailing Address - Phone:972-867-4658
Mailing Address - Fax:
Practice Address - Street 1:1820 PRESTON PARK BLVD STE 1850
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3633
Practice Address - Country:US
Practice Address - Phone:972-867-4658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant