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NPI Code Detail

MEDICARE: NGOC THANH TRAN SLP-ASSISTANT

MEDICARE: NGOC THANH TRAN SLP-ASSISTANT
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
12355S0801XSpeech-Language Assistant43629TX

General Provider Information

NPI Number : 1679324982
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOC THANH TRAN SLP-ASSISTANT
Provider Business Mailing Address
First Line : 6913 HOMINY RDG
Second Line :
City : ROWLETT
State : TX
Zip : 75089-7432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4775 NORTH FWY
Second Line :
City : FORT WORTH
State : TX
Zip : 76106-2300
Country : US
Telephone Number : 817-740-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 03/27/2024

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