MEDICARE: MR. SI H TRAN CPED

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	224L00000X	Pedorthist
2	224L00000X	Pedorthist	3544
3	224L00000X	Pedorthist	3544	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CPED3544	OTHER	TX	AMERICAN BOARD FOR CERTIFICATION

General Provider Information

NPI Number	:	1922447176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SI H TRAN CPED

Provider Business Mailing Address
First Line	:	9900 WESTPARK DR STE 311
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5292
Country	:	US
Telephone Number	:	832-849-1877
Fax Number	:	832-849-1884

Provider Business Practice Location Address
First Line	:	9900 WESTPARK DR STE 311
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5292
Country	:	US
Telephone Number	:	832-849-1877
Fax Number	:	832-849-1884

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

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	04/24/2022

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