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Physician Compare National (NPI:1831446814)

HEALTHCARE PROVIDER: LAN PHUONG TRAN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1831446814
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2264686971
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20130205000464
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TRAN
Individual professional last name
Provider First Name LAN
Individual professional first name
Provider Middle Name P
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 2012
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MEMORIAL CITY TSO, P.C.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2961542469
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9950 KATY FWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE A
Group Practice or individual's line 2 address
City HOUSTON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 770551867
Group Practice or individual's zip code (9 digits when available)
Phone Number 7134687631
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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