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NPI Code Detail

MEDICARE: DR. LANCE T. TRAN DDS

MEDICARE: DR. LANCE T. TRAN DDS
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
11223G0001XGeneral Practice Dentistry17945TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11598838856OTHERTXNPI TYPE II

General Provider Information

NPI Number : 1518104967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANCE T. TRAN DDS
Provider Business Mailing Address
First Line : 4025 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77087-4703
Country : US
Telephone Number : 713-643-7673
Fax Number : 713-643-5534
Provider Business Practice Location Address
First Line : 4025 BROADWAY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77087-4703
Country : US
Telephone Number : 713-643-7673
Fax Number : 713-643-5534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2009
Last Update Date : 01/07/2009

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