Individual
TAM THI THANH HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18400 KATY FWY, MEDICAL OFFICE BLDG, SUITE 640, HOUSTON, TX 77094
(832) 522-8600
(832) 522-8601
Mailing address
18400 KATY FREEWAY, MEDICAL OFFICE BLDG, SUITE 640, HOUSTON, TX 77094
(832) 522-8600
(832) 522-8601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L0286
TX
2086S0129X
Vascular Surgery Physician
87028
SC
2086S0129X
Vascular Surgery Physician
Primary
L0286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037257503
—
TX
05
—
037257504
—
TX
05
—
037257506
—
TX
05
—
037257507
—
TX
01
—
1235177098
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/03/2006
Last updated
02/24/2023
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