MEDICARE: DR. QUANG K TRAN O.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	152W00000X	Optometrist	6498T	TX

General Provider Information

NPI Number	:	1396958211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. QUANG K TRAN O.D.

Provider Business Mailing Address
First Line	:	6300 STONEWOOD DR
Second Line	:	SUITE #304
City	:	PLANO
State	:	TX
Zip	:	75024-5280
Country	:	US
Telephone Number	:	469-467-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 STONEWOOD DR
Second Line	:	SUITE #304
City	:	PLANO
State	:	TX
Zip	:	75024-5312
Country	:	US
Telephone Number	:	469-467-8100
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

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