Provider Demographics
NPI:1629065743
Name:HUYNH, HUNG C (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:C
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9706 BLUE CRULS WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389
Mailing Address - Country:US
Mailing Address - Phone:281-357-5688
Mailing Address - Fax:281-357-5699
Practice Address - Street 1:425 HOLDERRIETH BLVD.
Practice Address - Street 2:STE 105
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375
Practice Address - Country:US
Practice Address - Phone:281-357-5688
Practice Address - Fax:281-357-5699
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK4711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H05136Medicare UPIN