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Individual

DR. BICHVAN NGOC HUYNH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3917 SHAVER ST, PASADENA, TX 77504-2603
(713) 941-6662
(713) 941-6665
Mailing address
3917 SHAVER ST, PASADENA, TX 77504-2603
(713) 941-6662
(713) 941-6665

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5825T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149068202
TX
05
154095701
TX
01
760634860
TAX ID
TX
Enumeration date
08/03/2005
Last updated
05/02/2012
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