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NPI Code Detail

MEDICARE: AMY TRAN

MEDICARE: AMY TRAN
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist46201TX
2183500000XPharmacist16457LA

General Provider Information

NPI Number : 1417057282
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY TRAN
Provider Business Mailing Address
First Line : 54 ASPHODEL DR
Second Line :
City : MARRERO
State : LA
Zip : 70072-5051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11701 S SAM HOUSTON PKWY E
Second Line :
City : HOUSTON
State : TX
Zip : 77089-4782
Country : US
Telephone Number : 281-484-3294
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 05/27/2026

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Directions to “ AMY TRAN ” Practice Location

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