Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 56239 | TN |
NPI | 1003236217 |
---|---|
Provider Name | Dr. Christina Brown Tran |
First Address | Memphis, TN 38104-5905 |
Second Address | Memphis, TN 38115-4505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2014 |
Last Update Date | 17/03/2018 |