Individual
AMY T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
3555 W WALNUT ST, SUITE A, GARLAND, TX 75042-4017
(972) 276-8688
(972) 276-4473
Mailing address
3555 W WALNUT ST, SUITE A, GARLAND, TX 75042-4017
(972) 276-8688
(972) 276-4473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA04649
STATE LICENSE
TX
Enumeration date
03/28/2013
Last updated
03/28/2013
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