Provider Demographics
NPI:1548240799
Name:TRINH, LOANN T (DO)
Entity Type:Individual
Prefix:
First Name:LOANN
Middle Name:T
Last Name:TRINH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8557 RESEARCH BLVD STE 128
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-7855
Mailing Address - Country:US
Mailing Address - Phone:512-836-7399
Mailing Address - Fax:512-836-7378
Practice Address - Street 1:8557 RESEARCH BLVD
Practice Address - Street 2:SUITE # 128
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-7856
Practice Address - Country:US
Practice Address - Phone:512-836-7399
Practice Address - Fax:512-836-7378
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1765207P00000X, 207QS0010X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156157303Medicaid
TX156157307Medicaid
TX8K3000OtherBCBS OF TEXAS
TX8V0603OtherBLUE SHIELD
TXP00157288OtherRAILROAD MCARE PROV NO
TX156157306Medicaid
TX156157308Medicaid
TX8W2942OtherBLUE SHIELD
TX161008101Medicaid
TX8G4895Medicare PIN
TX8W2942OtherBLUE SHIELD
TX8V0603OtherBLUE SHIELD
TX156157303Medicaid