Provider Demographics
NPI:1669732863
Name:HUYNH, TRAM NGOC (RPH)
Entity type:Individual
Prefix:DR
First Name:TRAM
Middle Name:NGOC
Last Name:HUYNH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 HOLLY HALL ST
Mailing Address - Street 2:STE 1211
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-4110
Mailing Address - Country:US
Mailing Address - Phone:408-621-1166
Mailing Address - Fax:
Practice Address - Street 1:5202 ALMEDA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5909
Practice Address - Country:US
Practice Address - Phone:713-529-5922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51229183500000X
CA66826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist