Individual
KHUONG TUAN DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4117 S STAPLES ST, SUITE 320, CORPUS CHRISTI, TX 78411-5505
(361) 993-6117
(361) 992-1375
Mailing address
4117 S STAPLES ST, SUITE 320, CORPUS CHRISTI, TX 78411-5505
(361) 993-6117
(361) 992-1375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6068TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153761501
—
TX
01
—
16193
SPECTERA
TX
01
—
38695
AVESIS
TX
01
—
412069309
CHIP
TX
01
—
451932
NVA
TX
01
—
57092
SAFEGUARD
TX
01
—
919125
BLOCK VISION
TX
01
—
9917
DAVIS VISION
TX
Enumeration date
06/27/2006
Last updated
06/09/2016
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