Provider Demographics
NPI:1306101480
Name:TRAN, ANDREW HUYNH (DDS)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:HUYNH
Last Name:TRAN
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 1:154 ISLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4658
Mailing Address - Country:US
Mailing Address - Phone:832-656-7044
Mailing Address - Fax:281-438-1976
Practice Address - Street 1:12125 HIGHWAY 6 STE D
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8844
Practice Address - Country:US
Practice Address - Phone:281-431-8909
Practice Address - Fax:281-431-8985
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX280571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice