MEDICARE: DR. CHRISTIAN QUANG 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
1	207L00000X	Anesthesiology Physician	M9062	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
2	8AA333	OTHER	TX	BCBSTX
3	196687102	OTHER	TX	CSHCN

General Provider Information

NPI Number	:	1497921407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTIAN QUANG TRAN D.O.

Provider Business Mailing Address
First Line	:	10150 MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3219
Country	:	US
Telephone Number	:	832-398-6467
Fax Number	:

Provider Business Practice Location Address
First Line	:	10150 MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-3219
Country	:	US
Telephone Number	:	832-398-6467
Fax Number	:	855-284-4131

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	05/06/2020

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