Provider Demographics
NPI:1194889881
Name:TRINH, JOHN ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARTHUR
Last Name:TRINH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6165 GRACEMOUNT LN
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7157
Mailing Address - Country:US
Mailing Address - Phone:409-225-1797
Mailing Address - Fax:409-838-3935
Practice Address - Street 1:6165 GRACEMOUNT LN
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7157
Practice Address - Country:US
Practice Address - Phone:409-225-1797
Practice Address - Fax:409-838-3935
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID01041827AOtherMEDICAL LICENSE
KS04.29416OtherMEDICAL LICENSE
TXM5548OtherMEDICAL LICENSE
TXM5548OtherMEDICAL LICENSE