Individual
DR. TRANG M TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3515 AGUA SARCA CT NE, ALBUQUERQUE, NM 87111-5266
(816) 550-8693
Mailing address
3515 AGUA SARCA CT NE, ALBUQUERQUE, NM 87111-5266
(816) 550-8693
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
047056
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047056
CONNECTICUT LICENSE NUMBER
CT
01
—
MD2008-0787
NEW MEXICO LICENSE
NM
Enumeration date
10/07/2008
Last updated
04/27/2012
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