Individual provider Active NPI

Thuan Phuong Huynh, M.D.

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1013960111
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3250 Issued in TX
Practice address
3740 N Josey LN Ste 212
Carrollton, TX 75007-2472
Phone
(972) 418-1778
Fax
(972) 418-5773
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K3250 TX Primary

Addresses

Primary practice location

3740 N Josey LN Ste 212
Carrollton, TX 75007-2472

Mailing address

PO Box 117738
Carrollton, TX 75011-7738
Phone (972) 418-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000733 TX Practitioner - Family Practice 3870691306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1809 Golden Trail CT
Suite 130
Carrollton, TX 75010-4667
Phone (972) 418-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thuan Huynh MD PA Family Medicine CurrentSince Jan 7, 2002 Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients

Locations

1809 Golden Trail Ct
Ste 130
Carrollton, TX 75010
Phone (972) 418-1778

1212 N Josey Ln
Ste 236
Carrollton, TX 75006
Phone (972) 418-1778

3740 N Josey Ln
Ste 212
Carrollton, TX 75007
Phone (469) 320-1237

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1013960111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117738",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750117738",
            "telephone_number": "972-418-1778",
            "fax_number": "972-418-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN STE 212",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072472",
            "telephone_number": "972-418-1778",
            "fax_number": "972-418-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "THUAN",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.