Provider Demographics
NPI:1689847097
Name:HUYNH, MY-MY (MD)
Entity Type:Individual
Prefix:MISS
First Name:MY-MY
Middle Name:
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 MARTIN LUTHER KING JR. WAY
Mailing Address - Street 2:TACOMA FAMILY MEDICINE RESIDENCY PROGRAM
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4238
Mailing Address - Country:US
Mailing Address - Phone:253-403-2938
Mailing Address - Fax:253-403-2968
Practice Address - Street 1:3801 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3825
Practice Address - Country:US
Practice Address - Phone:225-387-7899
Practice Address - Fax:225-381-2579
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program