Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | L2031 | TX |
NPI | 1316050990 |
---|---|
Provider Name | Viet N. Tran |
First Address | Austin, TX 78701-1926 |
Second Address | Austin, TX 78731-1646 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 18/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
145468802 | (05) | TX |
145468803 | (05) | TX |
8CV479 | BCBS (01) | TX |
H36568 | (02) | TX |