Provider Demographics
NPI:1356494694
Name:TRIEU, HA (OD)
Entity Type:Individual
Prefix:DR
First Name:HA
Middle Name:
Last Name:TRIEU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11509 ROYSTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-2539
Mailing Address - Country:US
Mailing Address - Phone:817-680-4256
Mailing Address - Fax:
Practice Address - Street 1:8520 N BEACH ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-4918
Practice Address - Country:US
Practice Address - Phone:817-503-9798
Practice Address - Fax:817-503-9781
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5671T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management