MEDICARE: ANDREW 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
1	225200000X	Physical Therapy Assistant	2188121	TX

General Provider Information

NPI Number	:	1730044991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW TRAN

Provider Business Mailing Address
First Line	:	17311 WYETH CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-6229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17311 WYETH CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-6229
Country	:	US
Telephone Number	:	832-818-8196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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