Provider Demographics
NPI:1811147150
Name:MISA TRANG HUYNH, O.D. P.A
Entity type:Organization
Organization Name:MISA TRANG HUYNH, O.D. P.A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANH
Authorized Official - Middle Name:CAO
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-583-7070
Mailing Address - Street 1:5141 FM 1960 RD W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4504
Mailing Address - Country:US
Mailing Address - Phone:281-583-7070
Mailing Address - Fax:281-583-1117
Practice Address - Street 1:5141 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4504
Practice Address - Country:US
Practice Address - Phone:281-583-7070
Practice Address - Fax:281-583-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5352TG152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019112401Medicaid