Provider Demographics
NPI:1194986877
Name:QUACH, HUY (DDS)
Entity type:Individual
Prefix:DR
First Name:HUY
Middle Name:
Last Name:QUACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 EL PASEO ST
Mailing Address - Street 2:APT 1504
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3241
Mailing Address - Country:US
Mailing Address - Phone:832-549-7402
Mailing Address - Fax:
Practice Address - Street 1:5357 W BELLFORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-3001
Practice Address - Country:US
Practice Address - Phone:713-723-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00240851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice