Provider Demographics
NPI:1639335334
Name:LUU, QUOC TRUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:QUOC
Middle Name:TRUNG
Last Name:LUU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TY
Other - Middle Name:TRUNG
Other - Last Name:LUU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:12210 WINTHORNE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3225
Mailing Address - Country:US
Mailing Address - Phone:281-866-0604
Mailing Address - Fax:
Practice Address - Street 1:9815 BAMMEL NORTH HOUSTON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-2989
Practice Address - Country:US
Practice Address - Phone:281-405-8009
Practice Address - Fax:281-405-0899
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor