Individual provider Active NPI

Anthony Huynh, PA-C

  • Physician Assistant
  • Southlake, TX
National Provider Identifier
1649941402
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14972 Issued in TX
Practice address
1360 N Kimball Ave Ste 100
Southlake, TX 76092-4747
Phone
(469) 375-1525
Fax
(877) 330-7366
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 328722 LA
Physician Assistant 363A00000X PA14972 TX Primary

Addresses

Primary practice location

1360 N Kimball Ave Ste 100
Southlake, TX 76092-4747

Mailing address

1360 N Kimball Ave Ste 100
Southlake, TX 76092-4747
Phone (469) 375-1525

Other practice location 1

1400 N Coit Rd Ste 405
McKinney, TX 75071-6657
Phone (469) 375-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
328722LAMDPhysician Assistant
PA14972TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center of Duncanville PA PastSince Sep 1, 2021 Accepting new patients
Allergy and Asthma Center of Duncanville, PA PastSince Sep 1, 2021 Accepting new patients

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": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1649941402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N KIMBALL AVE STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924747",
            "telephone_number": "469-375-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N KIMBALL AVE STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924747",
            "telephone_number": "469-375-1525",
            "fax_number": "877-330-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Coit Rd Ste 405",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750716657",
            "country_code": "US",
            "telephone_number": "469-375-1525",
            "fax_number": "877-330-7366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "328722",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.