MEDICARE: DR. VU BAO TRAN PHARMD

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	183500000X	Pharmacist	46762	TX

General Provider Information

NPI Number	:	1417331281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VU BAO TRAN PHARMD

Provider Business Mailing Address
First Line	:	9000 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-4925
Country	:	US
Telephone Number	:	713-691-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-4925
Country	:	US
Telephone Number	:	713-691-6200
Fax Number	:

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

Provider Enumeration Date	:	07/11/2015
Last Update Date	:	06/24/2016

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