Provider Demographics
NPI:1134719016
Name:LINH LIEN OD, PLLC
Entity type:Organization
Organization Name:LINH LIEN OD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:832-212-3799
Mailing Address - Street 1:2204 MANADA TRL
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78641-2740
Mailing Address - Country:US
Mailing Address - Phone:832-212-3799
Mailing Address - Fax:
Practice Address - Street 1:500 E BEN WHITE BLVD STE D600
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-3263
Practice Address - Country:US
Practice Address - Phone:512-912-0920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-24
Last Update Date:2021-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty