MEDICARE: MM TRAN, INC.

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	251E00000X	Home Health Agency		TX
2	3747P1801X	Personal Care Attendant	001020581	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	:	1912211228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MM TRAN, INC.

Provider Business Mailing Address
First Line	:	6100 CORPORATE DR STE 318
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3425
Country	:	US
Telephone Number	:	713-773-2298
Fax Number	:	713-777-3898

Provider Business Practice Location Address
First Line	:	6100 CORPORATE DR STE 318
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3425
Country	:	US
Telephone Number	:	713-773-2298
Fax Number	:	713-777-3898

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. PAUL PETER TRAN
Credential	:
Telephone Number	:	713-773-2298

Provider Enumeration Date	:	07/28/2010
Last Update Date	:	06/14/2018

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Directions to “MM TRAN, INC. ” Practice Location

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