Healthcare Provider Details

I. General information

NPI: 1003446857
Provider Name (Legal Business Name): TRAN URGENT CARE & WELLNESS CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2020
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 SOUTH, 38TH STREET, SUITE B
TACOMA WA
98418-6718
US

IV. Provider business mailing address

710 SOUTH, 38TH STREET, SUITE B
TACOMA WA
98418-6718
US

V. Phone/Fax

Practice location:
  • Phone: 253-719-7767
  • Fax: 253-330-8646
Mailing address:
  • Phone: 253-719-7767
  • Fax: 253-330-8646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DAT TRAN
Title or Position: OWNER
Credential:
Phone: 206-370-4748