Provider Demographics
NPI:1962233940
Name:TRUONG, QUYNH NHU HUYNH
Entity type:Individual
Prefix:
First Name:QUYNH
Middle Name:NHU HUYNH
Last Name:TRUONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27165 DEVYN FOREST LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4563
Mailing Address - Country:US
Mailing Address - Phone:346-525-7433
Mailing Address - Fax:
Practice Address - Street 1:27165 DEVYN FOREST LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4563
Practice Address - Country:US
Practice Address - Phone:346-525-7433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49809183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist