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NPI Code Detail

MEDICARE: DR. VINCENT TRAN

MEDICARE: DR. VINCENT TRAN
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
11223S0112XOral and Maxillofacial Surgery (Dentist)39162307TX

General Provider Information

NPI Number : 1649101908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT TRAN
Provider Business Mailing Address
First Line : 296 EVANGELINE CREEK DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71106-8560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 KINGS HWY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number : 318-675-6036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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