Provider Demographics
NPI:1750881447
Name:DINH, MAI-LAM NU (OD)
Entity type:Individual
Prefix:DR
First Name:MAI-LAM
Middle Name:NU
Last Name:DINH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 SPRING STUEBNER RD STE 160
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5286
Mailing Address - Country:US
Mailing Address - Phone:832-761-8176
Mailing Address - Fax:
Practice Address - Street 1:6600 SPRING STUEBNER RD STE 160
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5286
Practice Address - Country:US
Practice Address - Phone:832-761-8176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9252TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist