MEDICARE: DAT HUU 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207RH0003X	Hematology & Oncology Physician	V5615	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	:	1588018097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAT HUU TRAN M.D.

Provider Business Mailing Address
First Line	:	3406 LIVINGSTON LN
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-3211
Country	:	US
Telephone Number	:	214-436-0302
Fax Number	:

Provider Business Practice Location Address
First Line	:	7415 LAS COLINAS BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-7568
Country	:	US
Telephone Number	:	817-759-7000
Fax Number	:	817-759-7027

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

Provider Enumeration Date	:	04/20/2016
Last Update Date	:	07/24/2025

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