MEDICARE: HANG TRAN PA-C

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	363A00000X	Physician Assistant	PA12651	TX

General Provider Information

NPI Number	:	1619433927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANG TRAN PA-C

Provider Business Mailing Address
First Line	:	5901 S COOPER ST STE 131
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4417
Country	:	US
Telephone Number	:	817-200-6680
Fax Number	:

Provider Business Practice Location Address
First Line	:	5901 S COOPER ST STE 131
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-4417
Country	:	US
Telephone Number	:	817-200-6680
Fax Number	:

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

Provider Enumeration Date	:	02/12/2019
Last Update Date	:	04/20/2024

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Directions to “ HANG TRAN PA-C” Practice Location

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