Organization
THE 5TH ELEMENT MEDICAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRANG M TRAN MD (OWNER)
(505) 839-6825
Entity
Organization
Contact information
Practice address
5300 SEQUOIA RD NW, SUITE 101, ALBUQUERQUE, NM 87120-1283
(505) 839-6825
Mailing address
5300 SEQUOIA RD NW, SUITE 101, ALBUQUERQUE, NM 87120-1283
(505) 839-6825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2008-0787
—
Other
Enumeration date
04/27/2012
Last updated
12/13/2012
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