MEDICARE: HA TRAN M.D.P.A.

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	261QP2300X	Primary Care Clinic/Center	G2866	TX

General Provider Information

NPI Number	:	1659601953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HA TRAN M.D.P.A.

Provider Business Mailing Address
First Line	:	9115 BELLAIRE BLVD STE 121
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4620
Country	:	US
Telephone Number	:	713-771-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	9115 BELLAIRE BLVD STE 121
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-4620
Country	:	US
Telephone Number	:	713-771-2787
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARGARET T TRAN
Credential	:
Telephone Number	:	713-771-2787

Provider Enumeration Date	:	01/08/2010
Last Update Date	:	01/08/2010

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