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Individual

TRAN DAO-BOYDSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
521723
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041515002
TX
05
041515003
TX
05
041515004
TX
05
041515005
TX
05
041515006
TX
05
041515007
TX
05
041515008
TX
05
041515009
TX
05
041515010
TX
05
041515011
TX
05
144920901
TX
01
8N9793
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/29/2006
Last updated
04/14/2009
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