Provider Demographics
NPI:1790785715
Name:TRINH, HONG CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:CATHERINE
Last Name:TRINH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3615 PROFESSIONAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-3849
Mailing Address - Country:US
Mailing Address - Phone:409-983-2000
Mailing Address - Fax:409-983-1827
Practice Address - Street 1:3615 PROFESSIONAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3849
Practice Address - Country:US
Practice Address - Phone:409-983-2000
Practice Address - Fax:409-983-1827
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9544208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
120669004OtherEPS DT
TX120669005Medicaid
8C6106Medicare ID - Type Unspecified
TX120669005Medicaid