Healthcare Provider Details

I. General information

NPI: 1407433220
Provider Name (Legal Business Name): ANDREW TRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 WEST LOOP S
BELLAIRE TX
77401-4104
US

IV. Provider business mailing address

6700 WEST LOOP S
BELLAIRE TX
77401-4104
US

V. Phone/Fax

Practice location:
  • Phone: 713-357-6975
  • Fax:
Mailing address:
  • Phone: 713-357-6975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberV9729
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberV9729
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberV9729
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: