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NPI Code Detail

MEDICARE: SA PHUONG HUYNH FNP

MEDICARE: SA PHUONG HUYNH FNP
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
1363LF0000XFamily Nurse PractitionerAP145586TX

General Provider Information

NPI Number : 1295356582
Entity Type Code : Individual
Provider Name (Legal Business Name) : SA PHUONG HUYNH FNP
Provider Business Mailing Address
First Line : 2100 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4356
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 ELDORADO PKWY
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-4356
Country : US
Telephone Number : 214-585-0472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2020
Last Update Date : 01/28/2026

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