MEDICARE: DR. JAMES LE THANH 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	207R00000X	Internal Medicine Physician	L4766	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477665966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LE THANH TRAN MD

Provider Business Mailing Address
First Line	:	PO BOX 8079
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77508-8079
Country	:	US
Telephone Number	:	713-378-0738
Fax Number	:	713-378-4419

Provider Business Practice Location Address
First Line	:	4004 WOODLAWN AVE
Second Line	:
City	:	PASADENA
State	:	TX
Zip	:	77504-1921
Country	:	US
Telephone Number	:	713-378-0738
Fax Number	:	713-378-4419

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/13/2010

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