Basic Information
Provider Information
NPI: 1659791572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN DUC
FirstName: NORRIS
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 BINZ ST STE 1040
Address2:  
City: HOUSTON
State: TX
PostalCode: 770046926
CountryCode: US
TelephoneNumber: 7135248700
FaxNumber: 7135242910
Practice Location
Address1: 1200 BINZ ST STE 1040
Address2:  
City: HOUSTON
State: TX
PostalCode: 770046926
CountryCode: US
TelephoneNumber: 7135248700
FaxNumber: 7135242910
Other Information
ProviderEnumerationDate: 04/17/2014
LastUpdateDate: 06/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA142563CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000XS8500TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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