Provider Demographics
NPI:1760709117
Name:HUYNH, PHUC VINH (DC)
Entity Type:Individual
Prefix:DR
First Name:PHUC
Middle Name:VINH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8814 INGLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4532
Mailing Address - Country:US
Mailing Address - Phone:832-212-6323
Mailing Address - Fax:
Practice Address - Street 1:8814 INGLEBROOK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4532
Practice Address - Country:US
Practice Address - Phone:832-212-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor