MEDICARE: YUN TZU TRAN MD

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	207Q00000X	Family Medicine Physician	M6427	TX

General Provider Information

NPI Number	:	1275747842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUN TZU TRAN MD

Provider Business Mailing Address
First Line	:	8553 N. BEACH ST PMB 379
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76244
Country	:	US
Telephone Number	:	682-215-4657
Fax Number	:

Provider Business Practice Location Address
First Line	:	8553 N. BEACH ST PMB 379
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76244
Country	:	US
Telephone Number	:	682-215-4657
Fax Number	:

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

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	04/09/2020

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