Individual
HONG NHUNG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 700, BATON ROUGE, LA 70808-4300
(225) 765-2048
(225) 765-1958
Mailing address
8585 PICARDY AVE, SUITE 700, BATON ROUGE, LA 70809-3748
(225) 763-4800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200443
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05684711
—
MS
05
—
2152823
—
LA
01
—
274670YJA2
MEDICARE
—
Enumeration date
05/03/2011
Last updated
05/10/2021
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