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NPI Code Detail

MEDICARE: MR. HENRY TAI TRAN PT

MEDICARE: MR. HENRY TAI TRAN PT
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
1225100000XPhysical Therapist2136NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093997405
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HENRY TAI TRAN PT
Provider Business Mailing Address
First Line : 8205 W WARM SPRINGS RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3646
Country : US
Telephone Number : 702-294-7493
Fax Number : 702-252-0369
Provider Business Practice Location Address
First Line : 8205 W WARM SPRINGS RD STE 250
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3646
Country : US
Telephone Number : 702-294-7493
Fax Number : 702-252-0369
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2007
Last Update Date : 10/23/2023

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Directions to “ MR. HENRY TAI TRAN PT” Practice Location

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