Individual
DR. MAI THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2715 OSLER DR, GRAND PRAIRIE, TX 75051-1051
(972) 206-2940
(972) 602-7261
Mailing address
2715 OSLER DRIVE, GRAND PRAIRIE, TX 75051-1051
(972) 206-2940
(972) 602-7261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP1-0017510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11417134255
—
TX
05
—
1275737868
—
TX
Enumeration date
06/14/2007
Last updated
06/06/2013
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