Provider Demographics
NPI:1811988892
Name:TRINH, CHARLES C (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:C
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:BAYLOR COLLEGE OF MEDICINE
Mailing Address - Street 2:ONE BAYLOR PLAZA MS-360
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-4417
Mailing Address - Fax:713-798-8050
Practice Address - Street 1:BAYLOR COLLEGE OF MEDICINE
Practice Address - Street 2:ONE BAYLOR PLAZA MS-360
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-4417
Practice Address - Fax:713-798-8050
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ88062085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104521304Medicaid
TX104521302Medicaid
TX86303RMedicare PIN
TX104521304Medicaid
H10452Medicare UPIN
TX104521302Medicaid