Provider Demographics
NPI:1700936259
Name:HUYNH, ANGELO (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELO
Middle Name:
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12132 SABO RD
Mailing Address - Street 2:SUITE F-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2541
Mailing Address - Country:US
Mailing Address - Phone:281-484-5800
Mailing Address - Fax:282-481-1627
Practice Address - Street 1:12132 SABO RD
Practice Address - Street 2:SUITE F-1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-2541
Practice Address - Country:US
Practice Address - Phone:281-484-5800
Practice Address - Fax:282-481-1627
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor