Provider Demographics
NPI:1902294218
Name:HUYNH, THOMAS MINH (DC)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MINH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7835 S RAINBOW BLVD STE 8
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6456
Mailing Address - Country:US
Mailing Address - Phone:702-625-0671
Mailing Address - Fax:702-260-0481
Practice Address - Street 1:7835 S RAINBOW BLVD STE 8
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6456
Practice Address - Country:US
Practice Address - Phone:702-625-0671
Practice Address - Fax:702-260-0481
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB0987111N00000X
CADC28680111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor