MEDICARE: LINH THUY TRAN PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP140857	TX

General Provider Information

NPI Number	:	1083172225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINH THUY TRAN PMHNP

Provider Business Mailing Address
First Line	:	7777 FOREST LANE, BUILDING C, #833
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6262
Country	:	US
Telephone Number	:	972-566-4591
Fax Number	:	972-566-6091

Provider Business Practice Location Address
First Line	:	7777 FOREST LANE, BUILDING C, #833
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6262
Country	:	US
Telephone Number	:	972-566-4591
Fax Number	:	972-566-6091

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

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	07/19/2023

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