Basic Information
| Provider Information | |||||||||
| NPI: | 1841403326 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANNA HA TRAN M.D. P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2821 E PRESIDENT GEORGE BUSH HWY | ||||||||
| Address2: | STE 501 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750824266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142391053 | ||||||||
| FaxNumber: | 2142391058 | ||||||||
| Practice Location | |||||||||
| Address1: | 2821 E PRESIDENT GEORGE BUSH HWY | ||||||||
| Address2: | STE 501 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750824266 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142391053 | ||||||||
| FaxNumber: | 2142391058 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | TRAN | ||||||||
| AuthorizedOfficialFirstName: | ANNA | ||||||||
| AuthorizedOfficialMiddleName: | HA | ||||||||
| AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 2142391053 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | L3503 | TX | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | L3503 | TX | X | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 7064364 | 01 | TX | AETNA | OTHER | 0063MP | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER |