Provider Demographics
NPI:1700072527
Name:DANA HUYEN MY DINH, MD, PA
Entity Type:Organization
Organization Name:DANA HUYEN MY DINH, MD, PA
Other - Org Name:FAMILY HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA HUYEN
Authorized Official - Middle Name:MY
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-909-3663
Mailing Address - Street 1:1115 E PIONEER PKWY
Mailing Address - Street 2:SUITE 135A
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-5884
Mailing Address - Country:US
Mailing Address - Phone:817-460-2580
Mailing Address - Fax:817-460-2581
Practice Address - Street 1:1115 E PIONEER PKWY
Practice Address - Street 2:SUITE 135A
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5884
Practice Address - Country:US
Practice Address - Phone:817-460-2580
Practice Address - Fax:817-460-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-16
Last Update Date:2007-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4035207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty