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NPI Code Detail

MEDICARE: ANDREW HUYNH TRAN D.D.S.

MEDICARE: ANDREW HUYNH TRAN D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry28057TX

General Provider Information

NPI Number : 1306101480
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HUYNH TRAN D.D.S.
Provider Business Mailing Address
First Line : 154 ISLAND BLVD
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4658
Country : US
Telephone Number : 832-656-7044
Fax Number : 281-438-1976
Provider Business Practice Location Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 281-431-8909
Fax Number : 281-431-8985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2012
Last Update Date : 07/05/2012

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