Provider Demographics
NPI:1881684306
Name:ARRIETA, HUONG-TRINH THI (OD)
Entity Type:Individual
Prefix:MRS
First Name:HUONG-TRINH
Middle Name:THI
Last Name:ARRIETA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HUONG-TRINH
Other - Middle Name:THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:125 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2313
Mailing Address - Country:US
Mailing Address - Phone:830-249-8090
Mailing Address - Fax:830-249-8052
Practice Address - Street 1:125 ROSEWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2313
Practice Address - Country:US
Practice Address - Phone:830-249-8090
Practice Address - Fax:830-249-8052
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5436152W00000X
TX5436TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L3693Medicare PIN