Individual
THAISON PAUL TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 S 4TH ST, LEAVENWORTH, KS 66048-5043
(913) 680-6000
Mailing address
1600 N OAK ST, APT #1008, ARLINGTON, VA 22209-2751
(703) 679-8636
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-45767
KS
207P00000X
Emergency Medicine Physician
P8422
TX
Other
Enumeration date
04/27/2010
Last updated
02/10/2025
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