Provider Demographics
NPI:1851405153
Name:HUYNH, MINDY THIEN-NGA (OD)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:THIEN-NGA
Last Name:HUYNH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4530 W BUCKINGHAM RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4514
Mailing Address - Country:US
Mailing Address - Phone:972-479-9797
Mailing Address - Fax:972-479-9799
Practice Address - Street 1:4530 W BUCKINGHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4514
Practice Address - Country:US
Practice Address - Phone:972-479-9797
Practice Address - Fax:972-479-9799
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5536TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0191355-01Medicaid
TXU75619Medicare UPIN
TX0191355-01Medicaid