Healthcare Provider Details

I. General information

NPI: 1285904136
Provider Name (Legal Business Name): KRISTINE TRAN RN,CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 01/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 RICHMOND AVE SUITE 307
HOUSTON TX
77082-2432
US

IV. Provider business mailing address

20618 PALM RAIN CT
KATY TX
77449-1842
US

V. Phone/Fax

Practice location:
  • Phone: 281-558-5570
  • Fax: 281-558-8081
Mailing address:
  • Phone: 281-300-4088
  • Fax: 281-558-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number684898
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: