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Organization
KENNY-BAO THAI TRAN, MD, PA
Active
Organization
KENNY-BAO THAI TRAN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY-BAO THAI TRAN MD (OWNER)
(512) 942-4700
Entity
Organization
Contact information
Practice address
2000 SCENIC DR, GEORGETOWN, TX 78626-7726
(512) 942-4700
Mailing address
PO BOX 924, AUSTIN, TX 78767-0924
(512) 474-5700
(512) 474-2720
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/11/2014
Last updated
05/28/2021
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