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NPI Code Detail

MEDICARE: LAN PHUONG THUY TRAN REGISTERED NURSE

MEDICARE:   LAN PHUONG THUY TRAN  REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN179297AZ
2367500000XCertified Registered Nurse Anesthetist1128221TX

General Provider Information

NPI Number : 1194337626
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAN PHUONG THUY TRAN REGISTERED NURSE
Provider Business Mailing Address
First Line : 20915 WILDERNESS OAK APT 2204
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-2634
Country : US
Telephone Number : 408-204-3887
Fax Number :
Provider Business Practice Location Address
First Line : 20915 WILDERNESS OAK APT 2204
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-2634
Country : US
Telephone Number : 408-204-3887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 07/25/2023

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Directions to “ LAN PHUONG THUY TRAN REGISTERED NURSE” Practice Location

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