Basic Information
Provider Information
NPI: 1336119155
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TRAN
FirstName: HUY
MiddleName: D.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12951 SOUTH FREEWAY
Address2:  
City: HOUSTON
State: TX
PostalCode: 77047
CountryCode: US
TelephoneNumber: 7135265771
FaxNumber: 7135262036
Practice Location
Address1: 12951 SOUTH FREEWAY
Address2:  
City: HOUSTON
State: TX
PostalCode: 77047
CountryCode: US
TelephoneNumber: 7135265771
FaxNumber: 7135262036
Other Information
ProviderEnumerationDate: 01/24/2006
LastUpdateDate: 06/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X036-113439ILY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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