Provider Demographics
NPI:1376899989
Name:HUYNH, HUNG ADEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:ADEN
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:ADEN
Other - Middle Name:
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:7459 CHERRY AVE
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-7721
Mailing Address - Country:US
Mailing Address - Phone:616-915-1223
Mailing Address - Fax:
Practice Address - Street 1:6550 NAAMAN FOREST BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-5691
Practice Address - Country:US
Practice Address - Phone:972-480-0072
Practice Address - Fax:972-480-0073
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2302213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery