Individual
DIEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4103 S GREAT SOUTHWEST PKWY, GRAND PRAIRIE, TX 75052-3801
(972) 602-8156
Mailing address
604 FORT WORTH AVE APT 3012, DALLAS, TX 75208-0260
(712) 574-6672
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
65458
TX
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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