Basic Information
Provider Information
NPI: 1700347051
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11535 EARLEY FOREST LN
Address2:  
City: HOUSTON
State: TX
PostalCode: 770434564
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 921 GESSNER RD
Address2:  
City: HOUSTON
State: TX
PostalCode: 770242501
CountryCode: US
TelephoneNumber: 7132423000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/28/2019
LastUpdateDate: 07/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XT8674TXY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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