MEDICARE: THAO TRAN D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	6303	TX

General Provider Information

NPI Number	:	1003203662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THAO TRAN D.O

Provider Business Mailing Address
First Line	:	919 E 32ND ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-2703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4502 E. 41ST STREET
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-2512
Country	:	US
Telephone Number	:	918-619-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	01/07/2026

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Directions to “ THAO TRAN D.O” Practice Location

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