Provider Demographics
NPI:1932185006
Name:HUYNH, MAIPHUONG K (DO)
Entity Type:Individual
Prefix:
First Name:MAIPHUONG
Middle Name:K
Last Name:HUYNH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14835 ELIZABETH BAY RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5279
Mailing Address - Country:US
Mailing Address - Phone:281-773-6895
Mailing Address - Fax:281-573-8891
Practice Address - Street 1:14835 ELIZABETH BAY RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5279
Practice Address - Country:US
Practice Address - Phone:281-773-6895
Practice Address - Fax:281-573-8891
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1158207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176152007Medicaid
TXP00251015OtherRAILROAD MCARE PROV NO
TXP00321825OtherRAILROAD MCARE PROV NO
TX176152003Medicaid
TX176152002Medicaid
TX176152006Medicaid
TX176152001Medicaid
TX8P5091OtherBCBSTX PROV NO
TX176152002Medicaid
TXP00251015OtherRAILROAD MCARE PROV NO
TX8P5091OtherBCBSTX PROV NO
TX176152001Medicaid
TXP00690968Medicare Oscar/Certification
TX8D8506Medicare PIN
TX8D8505Medicare PIN
TX8K9951Medicare PIN