Individual
JIMMY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2201 WESTGATE PLZ, GRAPEVINE, TX 76051-8037
(817) 410-2030
(817) 251-6261
Mailing address
2201 WESTGATE PLZ, GRAPEVINE, TX 76051-8037
(817) 410-2030
(817) 251-6261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4559
MA
152W00000X
Optometrist
Primary
6855TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309756003
—
TX
Enumeration date
04/21/2006
Last updated
05/27/2022
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