Healthcare Provider Details

I. General information

NPI: 1811343023
Provider Name (Legal Business Name): TRAN MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 DAVID DR
METAIRIE LA
70003-5031
US

IV. Provider business mailing address

2109 DAVID DR
METAIRIE LA
70003-5031
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-2505
  • Fax: 504-885-2510
Mailing address:
  • Phone: 504-885-2505
  • Fax: 504-885-2510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: DUNG TRAN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 504-885-2505