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NPI Code Detail

MEDICARE: DR. HUEY TRAN O.D.

MEDICARE:  DR. HUEY  TRAN  O.D.
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
1152W00000XOptometrist6624TTX

General Provider Information

NPI Number : 1700853512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUEY TRAN O.D.
Provider Business Mailing Address
First Line : 4624 SEBAGO TRL
Second Line :
City : PLANO
State : TX
Zip : 75093-3394
Country : US
Telephone Number : 214-862-4133
Fax Number :
Provider Business Practice Location Address
First Line : 18181 MIDWAY RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75287-8103
Country : US
Telephone Number : 972-662-2020
Fax Number : 972-662-2021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 04/30/2020

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Directions to “ DR. HUEY TRAN O.D.” Practice Location

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