Provider Demographics
NPI:1053520296
Name:LY, TRAN HUYEN THI (MD)
Entity type:Individual
Prefix:
First Name:TRAN
Middle Name:HUYEN THI
Last Name:LY
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9101 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 430
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5927
Mailing Address - Country:US
Mailing Address - Phone:214-363-8889
Mailing Address - Fax:214-363-9416
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:SUITE 430
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5927
Practice Address - Country:US
Practice Address - Phone:214-363-8889
Practice Address - Fax:214-363-9416
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM4311207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy