Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1478 | TX |
Y | 222Z00000X | Podiatrist | 1478 | TX |
NPI | 1053428987 |
---|---|
Provider Name | Dr. Thomas Huu Tran |
First Address | Frisco, TX 75035 |
Second Address | Frisco, TX 75035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U71598 | (02) |