MEDICARE: DR. TONY T TRAN D.O.

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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	20A14095	CA
2	207Q00000X	Family Medicine Physician	T9806	TX

General Provider Information

NPI Number	:	1205133204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY T TRAN D.O.

Provider Business Mailing Address
First Line	:	1327 LAKE POINTE PKWY STE 410
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1327 LAKE POINTE PKWY STE 410
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4602
Country	:	US
Telephone Number	:	281-637-7695
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2011
Last Update Date	:	08/11/2025

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