Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 5590 | LA |
Y | 213EG0000X | General Practice | 5590 | LA |
NPI | 1003911249 |
---|---|
Provider Name | Dr. Hoang Van Tran |
First Address | Baton Rouge, LA 70816-8313 |
Second Address | Baton Rouge, LA 70808-6527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 27/07/2016 |