Provider Demographics
NPI:1730195777
Name:HUYNH, CHRISTINE H (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:H
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 152193
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-8193
Mailing Address - Country:US
Mailing Address - Phone:817-676-9046
Mailing Address - Fax:817-265-3884
Practice Address - Street 1:609 MATLOCK CENTRE CIR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2535
Practice Address - Country:US
Practice Address - Phone:817-676-9046
Practice Address - Fax:817-265-3884
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8599208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3429001OtherAETNA
TX150444102Medicaid
TX8K9322OtherBLUE CROSS BLUE SHIELD
TXP00216818OtherRAILROAD MEDICARE
TXP00216818OtherRAILROAD MEDICARE
TX8K9322OtherBLUE CROSS BLUE SHIELD