Basic Information
Provider Information
NPI: 1144883638
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN
FirstName: MINH
MiddleName: NHAT DO
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 UNIVERSITY BLVD
Address2:  
City: GALVESTON
State: TX
PostalCode: 775550764
CountryCode: US
TelephoneNumber: 4097720122
FaxNumber: 4097720777
Practice Location
Address1: 301 UNIVERSITY BLVD
Address2:  
City: GALVESTON
State: TX
PostalCode: 775551167
CountryCode: US
TelephoneNumber: 4097727063
FaxNumber: 4097478579
Other Information
ProviderEnumerationDate: 04/19/2019
LastUpdateDate: 06/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10067110TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100XBP20081730TXY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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