MEDICARE: MRS. SUZANA CHAU TRAN FNP

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	363LF0000X	Family Nurse Practitioner	649018	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8Y1079	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1093873358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUZANA CHAU TRAN FNP

Provider Business Mailing Address
First Line	:	6908 CATAMARAN DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75054-7219
Country	:	US
Telephone Number	:	817-575-7718
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 BOLTON BOONE DR STE 114
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-2019
Country	:	US
Telephone Number	:	469-857-3142
Fax Number	:	469-857-3077

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	03/26/2026

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