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NPI Code Detail

MEDICARE: THU DIEM TRAN

MEDICARE: THU DIEM 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
1183500000XPharmacist45589TX

General Provider Information

NPI Number : 1659881647
Entity Type Code : Individual
Provider Name (Legal Business Name) : THU DIEM TRAN
Provider Business Mailing Address
First Line : 5330 FM 1640 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-5435
Country : US
Telephone Number : 281-342-7921
Fax Number : 281-342-7912
Provider Business Practice Location Address
First Line : 5330 FM 1640 RD
Second Line :
City : RICHMOND
State : TX
Zip : 77469-5435
Country : US
Telephone Number : 281-342-7921
Fax Number : 281-342-7912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2017
Last Update Date : 10/04/2017

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Directions to “ THU DIEM TRAN ” Practice Location

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