MEDICARE: VIET N. TRAN M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	L2031	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8CV479	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316050990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIET N. TRAN M.D.

Provider Business Mailing Address
First Line	:	1400 N IH 35 STE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-1926
Country	:	US
Telephone Number	:	512-345-5925
Fax Number	:	512-343-7113

Provider Business Practice Location Address
First Line	:	3724 EXECUTIVE CENTER DR
Second Line	:	SUITE G-10
City	:	AUSTIN
State	:	TX
Zip	:	78731-1646
Country	:	US
Telephone Number	:	512-345-5925
Fax Number	:	512-343-7113

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	09/18/2015

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Directions to “ VIET N. TRAN M.D.” Practice Location

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