Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | Q4865 | TX |
NPI | 1255569620 |
---|---|
Provider Name | Jennifer Nguyen Tran |
First Address | Katy, TX 77450-5126 |
Second Address | Houston, TX 77030-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 18/06/2015 |