MEDICARE: DENNIS D TRAN M.D.

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	207R00000X	Internal Medicine Physician	J3412	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528068301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS D TRAN M.D.

Provider Business Mailing Address
First Line	:	2535 E ARKANSAS LN
Second Line	:	321
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8702
Country	:	US
Telephone Number	:	817-277-9740
Fax Number	:	817-277-3082

Provider Business Practice Location Address
First Line	:	2535 E ARKANSAS LN
Second Line	:	321
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8702
Country	:	US
Telephone Number	:	817-277-9740
Fax Number	:	817-277-3082

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	11/28/2011

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