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NPI 1710955711

NPI 1710955711 : VAN-HIEN C TRAN P A : KATY, TX

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General NPI Number Information
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    NPI Number           |    1710955711
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    Entity Type          |    Organization 
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    Legal Business Name  |    VAN-HIEN C TRAN P A 
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Dates
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    Enumeration Date     |    03/08/2006
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    Last Update Date     |    07/10/2012
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Provider Practice Location Address
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    Address Line         |    701 S FRY RD SUITE# 115
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77450-2255
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    Country              |    US
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    Telephone            |    281-578-8787
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    Fax                  |    281-578-8764
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4346 DEPT# 31
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77210-4346
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    Country              |    US
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    Telephone            |    281-578-8787
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    Fax                  |    281-578-8764
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Authorized Official
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    Title or Position    |    MEDICAL DOCTOR/OWNER
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    Name                 |    DR. VAN-HIEN CONG TRAN 
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    Credential           |    MD
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    Telephone            |    281-578-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    K5720
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    License Number State |    TX
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