MEDICARE: MR. HIEN AUSTIN MINH 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
1	390200000X	Student in an Organized Health Care Education/Training Program		TX

General Provider Information

NPI Number	:	1154267821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HIEN AUSTIN MINH TRAN

Provider Business Mailing Address
First Line	:	1 BAYLOR PLZ
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3498
Country	:	US
Telephone Number	:	469-451-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE ST STE 8A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	469-451-1405
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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