Individual
MARYANNE THU TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PEAKWOOD DR STE 5E, HOUSTON, TX 77090
(281) 440-5158
Mailing address
1101 WALNUT ST, UNIT 1505, KANSAS CITY, MO 64106-2134
(816) 679-3879
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-35815
KS
2085R0202X
Diagnostic Radiology Physician
2012016184
MO
2085R0202X
Diagnostic Radiology Physician
Primary
N1189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200961800B
—
KS
Enumeration date
07/18/2007
Last updated
06/01/2018
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