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NPI Code Detail

MEDICARE: DR. VAN Q TRAN D.O.

MEDICARE:  DR. VAN Q TRAN  D.O.
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
1207Q00000XFamily Medicine PhysicianL3505TX

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 : 1194753665
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VAN Q TRAN D.O.
Provider Business Mailing Address
First Line : 1919 NORTH LOOP W
Second Line : 218
City : HOUSTON
State : TX
Zip : 77008-1374
Country : US
Telephone Number : 713-862-5797
Fax Number : 713-862-0166
Provider Business Practice Location Address
First Line : 1919 NORTH LOOP W
Second Line : 218
City : HOUSTON
State : TX
Zip : 77008-1374
Country : US
Telephone Number : 713-862-5797
Fax Number : 713-862-0166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 03/18/2014

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Directions to “ DR. VAN Q TRAN D.O.” Practice Location

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