MEDICARE: NHUNG HONG TRAN FNP-C

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	363LF0000X	Family Nurse Practitioner	1006396	TX

General Provider Information

NPI Number	:	1720737703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NHUNG HONG TRAN FNP-C

Provider Business Mailing Address
First Line	:	10013 WEXLEY WAY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-1787
Country	:	US
Telephone Number	:	682-554-5011
Fax Number	:

Provider Business Practice Location Address
First Line	:	7520 N BEACH ST STE 108
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-1507
Country	:	US
Telephone Number	:	817-984-7100
Fax Number	:

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

Provider Enumeration Date	:	03/18/2022
Last Update Date	:	03/18/2022

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Directions to “ NHUNG HONG TRAN FNP-C” Practice Location

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