Provider Demographics
NPI:1801490636
Name:TRINH, MATTHEW N (RPH)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:N
Last Name:TRINH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1749 MAX RD TRLR 1
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7636
Mailing Address - Country:US
Mailing Address - Phone:214-493-0648
Mailing Address - Fax:
Practice Address - Street 1:8605 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4201
Practice Address - Country:US
Practice Address - Phone:713-331-0374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist