Healthcare Provider Details

I. General information

NPI: 1548240799
Provider Name (Legal Business Name): LOANN T TRINH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/21/2006
Last Update Date: 02/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8557 RESEARCH BLVD SUITE # 128
AUSTIN TX
78758-7856
US

IV. Provider business mailing address

8557 RESEARCH BLVD STE 128
AUSTIN TX
78758-7855
US

V. Phone/Fax

Practice location:
  • Phone: 512-836-7399
  • Fax: 512-836-7378
Mailing address:
  • Phone: 512-836-7399
  • Fax: 512-836-7378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberL1765
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberL1765
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberL1765
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: