Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD.202830 | LA |
NPI | 1043453335 |
---|---|
Provider Name | Mr. Victor Q Tran |
First Address | Baton Rouge, LA 70809-3720 |
Second Address | Baton Rouge, LA 70809-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 13/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1884529 | (05) | LA |