Healthcare Provider Details

I. General information

NPI: 1912479460
Provider Name (Legal Business Name): DEBBIE HUYNH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2018
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1622 TARRYTOWN LN
ALLEN TX
75013-3345
US

IV. Provider business mailing address

5316 TUSCARORA TRL
MCKINNEY TX
75070-1611
US

V. Phone/Fax

Practice location:
  • Phone: 870-208-7542
  • Fax:
Mailing address:
  • Phone: 870-208-7542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE DUYEN HUYNH
Title or Position: LICENSE SURGICAL ASSISTANT
Credential: LSA
Phone: 870-208-7542