Basic Information
| Provider Information | |||||||||
| NPI: | 1205133204 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TRAN | ||||||||
| FirstName: | TONY | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8411 W BELLFORT ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770712205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134290808 | ||||||||
| FaxNumber: | 7134290452 | ||||||||
| Practice Location | |||||||||
| Address1: | 8411 W BELLFORT ST | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770712205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134290808 | ||||||||
| FaxNumber: | 7134290452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/28/2011 | ||||||||
| LastUpdateDate: | 10/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QG0300X | 20A14095 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | Geriatric Medicine | 207Q00000X | T9806 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.