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NPI Code Detail

MEDICARE: DOAN DEANNA HUA TRAN

MEDICARE:   DOAN DEANNA  HUA TRAN
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
1106S00000XBehavior TechnicianNV
21041C0700XClinical Social WorkerIC-2633NV

General Provider Information

NPI Number : 1144727496
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOAN DEANNA HUA TRAN
Provider Business Mailing Address
First Line : 1489 W WARM SPRINGS RD STE 110
Second Line :
City : HENDERSON
State : NV
Zip : 89014-7367
Country : US
Telephone Number : 702-582-6063
Fax Number :
Provider Business Practice Location Address
First Line : 1489 W. WARM SPRINGS SUITE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 702-582-6063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 03/12/2025

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