MEDICARE: HAO LUONG 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	183500000X	Pharmacist	047321	TX

General Provider Information

NPI Number	:	1952974214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAO LUONG TRAN

Provider Business Mailing Address
First Line	:	980 CLEAR LK CITY BLVD
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-6604
Country	:	US
Telephone Number	:	281-480-4410
Fax Number	:

Provider Business Practice Location Address
First Line	:	980 CLEAR LK CITY BLVD
Second Line	:
City	:	WEBSTER
State	:	TX
Zip	:	77598-6604
Country	:	US
Telephone Number	:	281-630-6969
Fax Number	:

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

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	07/23/2021

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Directions to “ HAO LUONG TRAN ” Practice Location

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