Provider Demographics
NPI:1720211717
Name:DINH, TRA-MY NU (PA)
Entity Type:Individual
Prefix:
First Name:TRA-MY
Middle Name:NU
Last Name:DINH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 W SANER AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-1430
Mailing Address - Country:US
Mailing Address - Phone:214-331-0567
Mailing Address - Fax:214-377-7779
Practice Address - Street 1:3201 W SANER AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-1430
Practice Address - Country:US
Practice Address - Phone:214-331-0567
Practice Address - Fax:214-377-7779
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06035363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant