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1679571459 NPI number — HARRY HA TRAN

NPI Number: 1679571459
Health Care Provider/Practitioner: HARRY HA TRAN

Information about “1679571459” NPI (HARRY HA TRAN) exists in 1679571459 in HTML format HTML  |  1679571459 in plain Text format TXT  |  1679571459 in PDF (Portable Document Format) PDF  |  1679571459 in an XML format XML  formats.

NPI Number : 1679571459 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679571459",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TRAN",
    "FirstName": "HARRY",
    "MiddleName": "HA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRAN",
    "OtherFirstName": "HARRY",
    "OtherMiddleName": "HA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "O.D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "4900 GARTH RD",
    "SecondLineMailingAddress": "STE A",
    "MailingAddressCityName": "BAYTOWN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77521-2258",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "832-414-2020",
    "MailingAddressFaxNumber": "281-421-0011",
    "FirstLinePracticeLocationAddress": "4900A GARTH RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAYTOWN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77521-2144",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-421-1122",
    "PracticeLocationAddressFaxNumber": "281-421-1127",
    "EnumerationDate": "07/14/2005",
    "LastUpdateDate": "01/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "6695TG",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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